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[KIRKLAND, Wash.] – (MTN) Health officials and researchers are in a race against time to unlock the secrets of the Omicron COVID variant and its potential impact on public health as more nations report discovered cases.
Washington state is one of the leaders in genomic sequencing of COVID tests samples in the United States, led by the University of Washington Medicine. Standard PCR tests can detect a marker for a potential Omicron variant. Omicron shares a mutation with the Alpha variant that the current PCR tests look for, enabling researchers to see if a specific spike protein has a deletion. That would become a probable case that would be tagged for confirmational sequencing.
President Joe Biden addressed the nation on Monday saying, “there are three messages about the new variant that I want the American people to hear. First, this variant is a cause for concern, not a cause for panic.”
The President went on to praise South African officials and their scientific community for, “the kind of transparency that should be encouraged and applauded.”
Currently, in Washington, 99.6% of new COVID cases are the Delta variant, and 0.4% are Mu. The last cases of the Beta, Epsilon, Eta, and Kappa variants were detected in June and the last cases of Gamma and Iota were in August.
“Omicron has an unprecedented number of spike mutations, some of which are concerning for their potential impact on the trajectory of the pandemic,” the WHO said in a statement today.
“The overall global risk related to the new variant …is assessed as very high.”
On Sunday, Dr. Angelique Coetzee told South Africa Today, “Most of these cases are mild whether they are vaccinated or not. There is no increase in our hospital admissions currently.”
Hospital admission for COVID-19 by week, South Africa Gauteng Province, Public and Private Hopsital, through November 28, 2021
Less than 12 hours later, the hospital admission data from the South Africa Department of Health painted a very different picture. In the previous week, COVID hospitalizations had increased 66% nationwide and 210% in Gauteng Province, the epicenter for Omicron cases. Two weeks ago 135 Covid-19 patients were hospitalized in and around Johannesburg jumping to 580 on Monday morning. Hospitalizations at public and private hospitals increased almost equally and officials at Baragwanath Hospital reported moderate to severe symptoms with almost all patients unvaccinated or partially vaccinated with the Pfizer vaccine.
Dr. Coetzee in her interview on Sunday went on to take a more cautionary position, “Two weeks from now we might say something different, but we urge…people out there please get vaccinated, listen, do the right thing, and stop going to big gatherings.”
She also added the unvaccinated should be worried, saying, “especially if you are above the age of 50, we have seen this many times.”
“There is a saying. You’re not safe until everyone is vaccinated.”
The 7 day rolling average for new COVID cases in South Africa grew to 2,275 on Monday, 90% of new cases are Omicron, and 10.8% of tests are coming back positive
The WHO appeared to address the reports from Dr. Coutzee and her reports on the severity of the new variant in a statement last night. “There is currently no information to suggest that symptoms associated with Omicron are different from those from other variants.”
The statement added, “Initial reported infections were among university students—younger individuals who tend to have more mild disease—but understanding the level of severity of the Omicron variant will take days to several weeks.”
Dr. Coetzee saw her first suspected Omicron variant patient on November 18 and has based her statement of symptoms being mild on two-dozen patients who are mostly university students and younger, and about 50% vaccinated. In an interview with the BBC on Thursday, she stated all were in good health with no comorbidities.
Although she is credited and has self-proclaimed to have “discovered” Omicron, the first detection of the B.1.1.529 variant was collected on November 9 in Botswana and confirmed by South African scientists on November 11. South African officials notified WHO on November 24, a day before Dr. Coutzee stated she contacted South African authorities on her observations.
Despite a lot of unanswered questions, a clearer picture is slowly starting to emerge. The three riddles scientists need to solve are how contagious Omicron is compared to the Delta variant, can it escape public health measures, preventions, and treatments, and if the symptoms are the same, worse, or milder than previous variants.
Here is what is currently known about the Omicron COVID variant.
Symptoms
For children, adolescents, and young adults there is conflicting information. One doctor is reporting mostly mild symptoms that can be treated at home while hospital officials are reporting cases are similar to Delta.
The WHO stated on Sunday, “There is currently no information to suggest that symptoms associated with Omicron are different from those from other variants.”
Transmissiblity
Concern is growing among the CDC, WHO, and a constellation of health officials that Omicron is highly transmissible. At least equal to Delta and possibly higher.
In less than two weeks, Omicron went from almost non-existent to 90% of new cases in South Africa. It appears it can effectively outcompete the Delta variant. However, this introduces bias in the data because the Delta wave had just ended in South Africa. Did Omicron become the dominant strain by outcompeting Delta or due to the absence of Delta? More research needs to be done to answer that question.
There are other variables that could explain the sharp increase in cases that go beyond the simple reproductive number, known as R0. Omicron has so many more mutations than previous strains, it could be benefiting from immune escape. Although the R0 is lower than Delta, its uniqueness compared to previous mutations enables it to reinfect people relying on natural immunity. So overall transmissibility may be lower than Delta, but its ability to escape immunity results in more infections.
Is it in the United States
Cassie Sauer, CEO of the Washington State Hospital Association said on Monday, “I think that there is almost no chance that it’s not [here.]”
The United States does not have a national standard or requirement to genetically sequence some or all COVID tests that come back positive. Those decisions are left up to individual states. It is likely that states with aggressive public health programs such as California, Washington, Colorado, New York, or Massachusetts will identify the first cases.
How long do researchers think Omicron has been circulating
Dr. Trevor Bedford from Fred Hutchinson in Houston, Texas successfully estimated the arrival of the original COVID strain in 2020, using data from the Washington State Department of Health. Using the same methodology, Dr. Bedford’s model indicates that Omicron likely started circulating between September 19 and October 21. There is no evidence to support that the variant originated in South Africa.
Credit – Dr. Trevor Bedford, Fred Hutchinson, Houston, Texas – probability of origin date for Omicron variant
Why are so many travelers testing positive
In total numbers, there aren’t many travelers testing positive. When you consider that in all but two cases the testing of 200 to 250 people on an aircraft has yielded one or two positives, the percentage of breakthrough cases is small. Headlines are blaring two positive cases detected, which is critical to know – they aren’t blaring 248 negative tests on 777 that landed tonight.
Because the people tested are 95% to 100% vaccinated, this creates a false data fallacy. You have an almost exclusive sample of vaccinated people.
In South Africa, the Department of Health has reported almost everyone hospitalized in the last two weeks is unvaccinated or only partially vaccinated. Dr. Coetzee reported 12 of 24 patients she cared for were unvaccinated.
Based on this early data, it appears the current vaccines remain at least moderately effective at preventing infection and remain very effective at stopping moderate to severe COVID.
Are the current vaccines ineffective
There isn’t enough data, and almost every public company making a vaccine announced over the weekend they were testing their current versions against Omicron. Pfizer, Moderna, and Johnson & Johnson announced over the holiday weekend they were testing to see if the current vaccines remained effective.
There is some data out of South Africa that is indicating that vaccines are helping prevent moderate to severe illness and the cases being detected among vaccinated travelers appear to be asymptomatic to mild. However, many of those cases were detected in the last 72 hours and more time is needed to see how these new cases will progress.
In Israel, the first three travel-related cases were fully vaccinated with boosters. One was Pfizer, one was J&J, and one was AstraZeneca. We know that the viral-vector vaccines haven’t performed as well against the Delta variant as the mRNA vaccines.
The evidence suggests that there is more vaccine escape with Omicron, but not outright vaccine ineffectiveness. It still appears to be preventing hospitalizations, which would indicate it would prevent deaths.
Pfizer said they could make a new version if required in 100 days and Moderna said it would take 60 to 90 days. Johnson & Johnson did not provide a timeline but made a statement today they could create an updated version if it was required.
There are some new COVID vaccines in development called subunit vaccinations. There has been no information about the impact Omicron will have on the research.
Is disease acquired immunity still effective
There is growing evidence that immunity gained from a previous COVID infection that isn’t supported by vaccination, is experiencing significant breakthrough numbers.
Researchers are working to determine if the sharp increase in the number of cases and the high positivity rate of tests is due to Omicron being equally or more transmissible than Delta, or if part of the increase is being driven by other factors.
The pattern of mutations found in Omicron is very distant from all previous strains.
Are monoclonal antibodies still effective
There is evidence that Omicron has a significant ability to resist monoclonal antibodies. Specific mutations may have the capability to not only bypass B cells but resist T cells (which isn’t the same as HIV which destroys your T cells).
UW Medicine is evaluating the performance of currently available antiviral treatments and we will know more information in the coming weeks.
Will the new antivirals that are pending approval still be effective
There was a report from Pfizer on Monday morning that Paxlovid is effective against the Omicron variant, which is very good news. This is easy to administer than monoclonal antibodies, easier to distribute, and cheaper.
Nothing has been stated about Monulpiravir from Merck. The FDA will be considering the EUA request this week but there are hints they will label Monulpiravir a Class C drug if the EUA is granted. A Class C drug can’t be used by pregnant women, women actively trying to get pregnant, and nursing mothers because the drug has not been tested to determine if it causes birth defects or pregnancy complications. The FDA has already requested data for Merck to understand the impact better.
What should I do
Health officials recommend you continue to do the same things you are doing now. Get vaccinated if you’re not already. Get a booster shot if you’re eligible, and over 2.4 million Washingtonians are currently eligible. Wear a mask, wash your hands, avoid crowded indoor spaces, and reconsider your short term travel plans if you were planning to fly.
[KIRKLAND, Wash.] – (MTN) Public health officials are scrambling to understand the seriousness of the Omicron Covid-19 variant as a growing list of nations report probable and confirmed cases.
First confirmed on November 11 among four people from Botswana who had returned from traveling to neighboring South Africa, new cases in the nation of 59 million have leaped from 356 on the 11th to 3,220 on Saturday. Test positivity also increased dramatically in the last 16 days climbing from 1.1% to 9.2%. Test positivity over 5% is an indicator of under testing and over 7% is a signal there is growing community transmission.
Confirmed COVID cases in South Africa from November 11 to November 27, Data from South Africa Ministry of Health COVID Daily Report Dashboard
On Friday, the World Health Organization (WHO) named the variant formerly known at B.1.1.529, Omicron, and labeled it a Variant of Concern (VOC). The variant has more than 50 mutations from the original COVID strain and shares many mutations with other VOCs. There are 32 mutations on the spike proteins, which can potentially impact transmissibility and increase the level of vaccine escape the Delta variant has.
Before the WHO met on Friday, new cases were confirmed in Israel, Belgium, and Hong Kong. By Saturday, Italy, England, Germany, and the Czech Republic have reported confirmed cases. Netherlands officials stopped two flights arriving from Johannesburg and retested more than 650 people for Covid-19, finding 61 new cases. The people who tested positive have been placed in isolation and their cases are being genetically sequenced to determine which variant they have.
On Friday evening all but two confirmed cases of the Omicron variant outside of the African continent were travel-related. One case in Belgium appears to have been caused by community spread. In Hong Kong, a person in a quarantine hotel became infected by another COVID positive occupant “across the hall.” The case detected in Belgium involves an unvaccinated individual while the Hong Kong case involves a person vaccinated in May or June.
Disinformation is spreading that cases are only among the vaccinated. South Africa had some early success in rolling out the COVID vaccine, but today only 24.11% of the population is fully vaccinated. Further misinformation that vaccines created the mutation isn’t supported or factual. Vaccines prevent mutations by reducing the number of people who can be infected and only 6% of all Africans are vaccinated against COVID. Because most recreational international travel requires a person to be fully vaccinated, travel-related cases are creating a short-term data fallacy.
Many nations including the United States and Canada have announced travel restrictions or bans to a varying list of six to ten countries in the southern part of Africa. Starting Sunday, air travel from South Africa, Botswana, Zimbabwe, Namibia, Lesotho, Eswatini, Mozambique, and Malawi will be restricted to US citizens and lawfully permanent residents. Delta and United Airlines have direct flights to South Africa from the United States.
A chorus of epidemiologists and health officials are calling the restrictions ineffective and politically motivated.
Based on the history of other variants it is likely Omicron was circulating before its November 9 detection. The United States relaxed air travel restrictions on November 8. There are no confirmed or suspected cases in North America, but infectious disease expert Dr. Anthony Fauci told reporters it is “possibly” already here.
One mutation is working in favor of public health and helping track the spread of the new variant. Omicron is missing a protein, and the absence can be detected by a PCR test. Genomic sequencing is still required for final confirmation, but the mutation makes probable cases easy to detect.
Pfizer and its Germany partner BioNTech as well as Moderna announced on Friday there were studying the efficacy of the currently available COVID vaccines and have plans to create an update if required. Both indicated research would take approximately two weeks and Pfizer stated a new vaccine could be available in 100 days, pending regulatory approval.
“From the beginning, we have said that as we seek to defeat the pandemic, it is imperative that we are proactive as the virus evolves,” said Moderna’s Chief Executive Officer Stéphane Bancel. “We have three lines of defense that we are advancing in parallel: we have already evaluated a higher dose booster of mRNA-1273, second, we are already studying two multi-valent booster candidates in the clinic that were designed to anticipate mutations such as those that have emerged in the Omicron variant and data is expected in the coming weeks, and third, we are rapidly advancing an Omicron-specific booster candidate.”
Doctors at UW Medicine in Seattle are studying the effectiveness of antiviral medications against the new strain. Dr. Deborah Fuller, speaking with local TV station KCPQ, did not specifically state if monoclonal antibodies such as Regeneron, molnupiravir by Merck, or Paxlovid by Pfizer were being studied.
Regeneron has been an effective early treatment for COVID and is credited with preventing as many as 10,000 hospitalizations in Florida. Some of the mutations indicate that Omicron may be able to resist or escape the drug. Molnupiravir is an antiviral developed in 2019 as a treatment for Influenza, Ebola, and other viral infections. Research showed the oral medication halved severe Covid-19 infections and deaths and is pending Emergency Use Authorization (EUA) from the U.S. Food and Drug Administration (FDA). Paxlovid was developed as a therapeutic for Covid-19 and was 89% effective at preventing hospitalization. The antiviral is also an oral medication and is being reviewed by the FDA to receive a EUA.
Molnupiravir is an antiviral medication currently under evaluation by the FDA that has shown strong promise as a viable COVID treatment
New York Governor Kathy Hochul declared a state of emergency on Friday evening ahead of any new case spikes. The declaration goes into effect on December 3 and will enable the state to increase hospital capacity and release funds to hire additional staff and medical supplies. When the United States State Department eased travel restrictions on November 8, New York City was the number one chosen destination for European travelers. Orlando and Phoenix were number two and three.
A lot more will be known in the next two to four weeks about Omicron. The three questions epidemiologists will be working to answer include does Omicron spread faster than Delta, can Omicron escape some of our therapies and public health measures, and if those sickened by the new variant suffer from equal, more severe, or more mild symptoms.
Public health officials recommend that getting vaccinated and getting your booster if you’re eligible, wearing masks, avoiding crowded indoor spaces, and deferring travel are the best lines of defense until more is known. People who feel sick should not dismiss their symptoms as a cold or flu and should test for COVID. A positive result with a home test should be followed up with a PCR test to confirm the results and help public health track which variants are spreading.
The Washington State Department of Health is closed from Thursday to Sunday for the Thanksgiving holiday and has not made any statement.
As of Saturday afternoon, the number of confirmed cases globally can be counted in the dozens – caution and not panic should be the word of the day.
[KIRKLAND, Wash.] – (MTN) World health officials are alarmed due to a new fast-spreading Covid-19 variant in South Africa causing the World Health Organization to hold an emergency meeting as Asian stock markets plunged and the Dow Jones futures dropped 735 points.
The new variant, so far identified as B.1.1.529 has not been named, but the WHO is expected to assign it a name today, likely the Nu variant.
The variant was first detected in Botswana but has quickly spread in South Africa and two travel-related cases have been confirmed in Hong Kong. Botswana officials stated the four detected cases are among fully vaccinated individuals. in South Africa, cases are increasing rapidly in Gauteng Province, home to Johannesburg and one of the largest air travel hubs on the continent. In the span of a week, new cases went from a cluster to growing so fast scientists believe it has achieved community spread.
Officials in the U.K. are taking no chances. Health Secretary Sajid Javid announced that six African nations – South Africa, Namibia, Zimbabwe, Botswana, Lesotho, and Eswatini – have been placed on the red list, placing strict rules on air travel.
Starting on Friday, any non-UK and Irish residents will be banned from entering England if they have been in the red list countries in the last ten days. Beginning Sunday, British nationals who have been in those countries will be required to quarantine upon entry. Additionally, health officials in the UK are asking anyone who has traveled to the impacted regions to get a PCR test as soon as possible.
South Africa’s Foreign Minister Naledi Pandor said the travel restrictions “seems to have been rushed,” in a statement where he expressed concern over the impact on tourism and business.
Israel and Singapore joined the U.K. early on Friday and added Mozambique to their travel restriction lists.
New case rate growth is much faster than Delta, which indicates the potential for a very high R0, or “r-naught,” which is the measure of how transmissible a communicable disease is. In little more than two weeks, B.1.1.529 has grown to almost 90% of all detected cases in South Africa.
According to Johns Hopkins University, only 24.11% of South Africans are fully vaccinated which would aid a new variant to spread unchecked. Health officials in South Africa and with the WHO are concerned that the new variant is circulating more widely than current data suggests.
The B.1.1.529 has more than 50 mutations, which is significantly higher than any other viable variant previously seen. More than 30 of those alternations are changes to the spike protein, which is the mechanism that enables the SARS-CoV-2 virus to identify hosts cell and is the primary target of the body’s immune response.
B.1.1.529 has more than twice the number of mutations as the Delta variant
In a report published by the Journal Nature, Penny Moore, a virologist at the University of Witwatersrand in Johannesburg, indicated that computer models suggest not only does B.1.1.529 have mutations that are already known to aid in evading an immune response from B cells but could fool the body’s T cells.
B cells do the yeoman’s work of fighting virus infections, but have a shorter memory and can be tricked by a smaller set of mutations. T cells are the second line of immune defense with better memory and capabilities to spot mutations. When T cells identify a threat that was initially missed, they summon B cells to aid in the response. This is how disease acquired and vaccine immune response works. If the new variant is capable of evading T cells then the benefits of vaccine immunity would be reduced and disease acquired immunity could be rendered ineffective.
Disease acquired and vaccine immunity works the same. Antibodies bind to the spike proteins preventing the virus from entering cells so it can replicate. If the antibodies can’t bind to spike mutations and the mutations still enable the SARS-CoV-2 virus to identify host cells, the virus can spread inside the body unchecked causing a Covid-19 infection.
Another challenge is if these findings are accurate – the new variant may be capable of outmaneuvering monoclonal antibodies – blunting a critical early treatment.
One mutation is helping scientists track the spread of the new variant. A specific mutation to the spike protein enables researchers to identify the variant through a standard PCR test instead of waiting for genomic sequencing.
Currently, there are more questions than answers. Researchers know the new variant is spreading rapidly in South Africa and causing a new surge. What is not known is if the rapid spread is being driven by a mostly unvaccinated population or because it is more transmissible. It also is not known if the new variant causes equal, more severe, or mild illness. There is no data about the capability the new antivirals Molnupiravir and Paxlovid could have in fighting B.1.1.529.
It is important to note that Beta, Gamma, and Mu were previous variants found to have high resistance to vaccine and disease acquired immunity but weren’t very transmissible. All three variants faded out because Delta was more contagious. In the simplest terms, Delta outbred the other variants. A key requirement for a new variant to spread rapidly would be the capability to outrun Delta.
Most important of all, there is no concrete scientific evidence that B1.1.529 is evading viral vector or mRNA-based vaccines. Previous variants have taken months to identify while this one was found, sequenced, and placed under investigation in a matter of days.
No cases have been detected in North America or any United States territories.
Knowledge is the best tool to fight against fear. A wise person chooses to be informed so they can make sound decisions. To join the fight against COVID misinformation, you can share this update through your social media platform of choice.
[KING COUNTY, Wash.] – (MTN) On November 24 the fifth wave came to an end with Washington state falling below high transmission for COVID. Despite the good news and 26 counties with moderate to low transmission rates, the number of new Covid-19 cases mostly among the unvaccinated is well above spring 2021 levels. Across the United States, epidemiologists are open about their worry of normal travel, family gatherings, and surging cases where the weather has turned cold.
In Washington, new case rates among every age group fell below high transmission for the first time since Malcontent News started tracking the data. Rates among the most vaccinated population, those 65 and older are the lowest while infection rates for children birth to 19 are the highest.
Six GOP state senators, five that are unvaccinated, are suing over announced COVID protocols in Olympia for the upcoming legislative session.
Officials in two counties are reporting significant Covid-19 outbreaks in their jails, and the Department of Corrections has had 94 cases at Cedar Creek Correction Center in the last 30 days. Staff at county jails outside of King County are not required to be vaccinated.
Almost 1 in 6 children 5 to 11 in Washington state have received their first dose of the Pfizer COVID vaccine in under two weeks.
A Washington paper mill has been fined almost $140,000 after an investigation into a Covid-19 outbreak at the facility that left one worker dead.
KING 5 did an investigation into a medical clinic in Ellensburg which revealed Dr. Anna Elperin allegedly running a COVID vaccine medical exemption mill. Dr. Elperin was charging patients $150 to $200 cash for exemptions.
No promotional consideration has been given, or requested from the n95 project or any manufacturer of masks
Washington State Update for November 24, 2021
Washington state Covid-19 update
Over 11.75 million people have traveled by air since Friday with Thanksgiving kicking off the holiday season tomorrow. AAA predicts another 48.3 million will travel by car, only slightly below the 49.9 million who took to the road in 2019 before COVID. All eyes will be on new case rate numbers late next week.
New cases in Washington are at the lowest level since late July, but higher than where experts had hoped they would be at this point. The data continues to support that 70% or more of the total population has a significant impact on reducing the transmission of COVID.
Percent of Total Population Fully Vaccinated
Total Population in Group
Average 14-Day New Case Rate
70.00% or above (3 counties)
2,343,250
143.8
60.00% to 69.99% (5 counties)
1,374,000
302.7
50.00% to 59.99% (16 counties)
3,532,200
252.9
40.00% to 49.99% (9 counties)
375,575
259.8
32.00% to 39.99% (6 counties)
151,850
224.5
14-Day New Covid-19 Cases per 100K average by Vaccination Rate for Total Population, Adjusted for Population by County
Through November 23, Washington’s statewide 14-day rolling average is 228.7 Covid-19 cases per 100K, and the 7 day rolling average is 83.7. You can mark November 23, 2021 on you calendar as the day the fifth wave ended in Washington state.
Only Chelan (452.6) and Douglas (446.9) Counties have new case rates over 400.0.
Twenty-six counties representing 5.35 million Washingtonians have a 7 day moving average case rate under 100. Also in good news, every age group is now below “high transmission” rates. New case rates remain higher among people under 50 years old.
Age Group
7-Day Case Rate
7-Day Hospitalization Rate
Ages 0-11
97.8
0.5
Ages 12-19
92.3
0.5
Ages 20-34
94.7
2.2
Ages 35-49
96.2
4.6
Ages 50-64
72.7
7.4
Ages 65-79
48.8
10.2
Ages 80+
57.3
21.0
7-day case rate and 7-day hospitalization rate is per 100K within the age group – the target for 7-day case rate is <25.0, but there are other factors such as vaccination rates within the age groups, how many total tests within the 7-day period, and the positivity rate within each age group
Six GOP state senators suing over Washington House’s Covid-19 protocols
Six GOP state representatives including anti-vaccination event favorite Bob Walsh are suing Democratic leaders over COVID protocols outlined for the upcoming legislative session. Five of the six plaintiffs are unvaccinated according to their lawsuit.
The plan allows a limited number of vaccinated members to be on the floor, but the exact number will be “maximized based on needs for social distancing.” Unvaccinated members who wish to be in their on-campus offices during the session must receive a negative test three days a week. Members will not need access to the floor to vote on bills.
The measure was approved last Thursday by the Executive Rules Committee. House Speaker Laurie Jinkins has said the lawsuit is “without merit” and her focus will be on 2022.
Multiple COVID outbreaks among Washington State prisons and county jails
Outbreaks of Covid-19 among inmates have been reported at three different correctional institutions in Washington state.
Clark County Jail in Vancouver, Washington reported there are approximately 30 inmates who are COVID positive.
In Yakima, the Yakima County Jail reported 47 inmates and 4 staffers had Covid-19.
In Littlerock, the Cedar Creek Corrections Center has reported 94 confirmed COVID cases over the last 30 days.
Almost 1 in 6 Washington kids age 5 to 11 have received their first dose of the COVID vax
Two weeks after vaccinations for 5 to 11-year-olds were authorized by the FDA, the DOH is reporting 101,103 eligible children have received their first dose, about 15% of all eligible kids in Washington.
The Pfizer vaccine Emergency Use Authorization (EUA) was amended to include 5 to 11-year-olds. They receive two smaller doses and reach fully vaccinated after five weeks. Initial data indicates that due to the stronger immune response of children and adolescents, a booster or third dose is not needed. That could change with time or if another variant emerges that is vaccine-resistant.
Washington paper mill fined $140,000 after L&I investigation into COVID deaths
An inspection by the Department of Labor & Industries reportedly revealed that during March and April, 15 workers who worked at the same machine at WestRock Services LLC tested positive for COVID-19. Of the 15, one worker reportedly died and two others were hospitalized from complications of the virus. Neither the death nor the hospitalizations were allegedly reported to L&I as required.
The inspection also reportedly revealed that in one instance, a machine operator recovering from coronavirus told WestRock’s onsite nurse he was having difficulty walking, was in pain, and was having shortness of breath, while another worker at the same machine had already been sent home after testing positive for COVID-19 the same morning.
L&I fined WestRock $139,832.00 for not following COVID-19 protocols and failing to report a death and hospitalizations to L&I. A formal complaint was filed with the Nursing Care Quality Assurance Commission under the Washington State Department of Health due to concerns about the nurse’s actions.
Investigation into Ellensburg clinic reveals alleged medical exemption mill
A months-long investigation by KING 5 of Dr. Anna Elperin, owner of Awake Health in Ellensburg, revealed a disturbing pattern of charging patients $150 to $200 cash only for medical exemptions without examination.
Over the fall, four different undercover investigators visited the clinic seeking medical exemptions. They had to pay $150 cash upfront, and found the staff not wearing masks, few questions asked, and in one case, the exemption is just written with no exam.
Dr. Elperin has attended numerous protests about masks, vaccines, and mandates, and told employees and patients that she believes it is a hoax
KING 5 reported that 20% of all medical exemption requests at Central Washington University were signed off by Dr. Elperin. The investigation also revealed that most wasted their money, having their exemption requests rejected.
Labor and Industries have had 12 complaints about Awake Health and took no action on ten. On Wednesday KING 5 reported that L&I had opened up an investigation and did a surprise inspection.
Second mass COVID testing site opens up in Spokane
A second mass COVID-19 testing will open in Spokane Valley on Friday at the Spokane County Fair and Expo Center on Havana Street according to a report by KXLY.
The site will be operated by Discovery Health MD and will offer lab-based PCR tests for anyone who has symptoms or has been exposed to COVID-19. Test results are usually available within 48-72 hours and are provided through a secure online portal.
Travel Advisories
Due to the impact of severe flooding, a forecast indicating more flooding, and strained hospital resources, we are maintaining the travel advisory for the Northwest Hospital Region. The region includes Clallam, Jefferson, Kitsap, and Mason counties.
We continue to advise to avoid all nonessential travel to Alaska, Colorado, Idaho, and Montana. Hospital resources in these states remain constrained, and you may receive inadequate care if you experience a serious medical emergency.
Finally, we continue to recommend avoiding recreational travel to Wyoming. The situation continues to improve but hospital resources remain constrained.
Thank you
Thank you to our new subscribers and those of you who have made one-time contributions. On behalf of the entire team, thank you for helping us keep the lights on!
King County, Washington is reporting over 85.0% of age eligible residents are vaccinated with at least one dose. The highest rates of positivity are in areas with low vaccination rates statewide. The FDA has provided full approval of the Pfizer vaccine for anyone 16 and over and EUA approval for the Moderna and Johnson & Johnson vaccines. The Pfizer vaccine has EUA approval for children 5 to 15 years old.
COVID vaccines and boosters are free for anyone 5 and older. Lyft and Hopelink provide free transportation, and KinderCare, the Learning Care Group, and the YMCA offer free childcare during vaccination appointments or recuperation.
Overall hospital status continues to improve with the Olympic Peninsula remaining highly stressed. The DOH reported 90.8% of staffed acute care beds were occupied with 11.6% of patients infected with Covid-19. There are 740 COVID patients statewide with an estimated 238 in the ICU – 123 requiring ventilators.
Statewide, there are an estimated 627 acute care and 134 ICU beds available.
On Wednesday, the 7 day rolling average hospital admission rate for new COVID patients had dropped to 63.
Hospital status by region – ICU Occupancy should be below 80%, ICU COVID Patients should be below 20%, Acute Care Occupancy should be below 80%, and Acute Care COVID Patients should be below 10%
– Alcott (3*/11) – Audubon (1*/7) – Blackwell (2*/3) – Carson (1*/3) – Clara Barton (4*/24) – Eastlake High (1*/17) – Ella Baker (2*/4) – Evergreen Middle School (1*/0) – Finn Hill Middle School (5) – Inglewood Middle School (5**/34) – Juanita High (1*/12) – Kamiakin Middle School (2*/27) – Kirk Elementary (3*/13) – Kirkland Middle School (1*/10) – Lakeview Elementary (1*/1) – Lake Washington High School (3*/7) – McAuliffe (2*/6) – Northstar Middle School (12) – Redmond High School (1*/12) – Renaissance Middle School (1*/6) – Rose Hill Middle (1*/7) – Rush Elementary (3*/0) – Sandburg/Discovery (1*/4) – Smith Elementary (1*/9)
None
Northshore
YELLOW
– Bothell High School (4*/11) – Canyon Creek Elementary (4*/14) – Canyon Park Middle School (1*/4) – Crystal Springs Elementary (4*/8) – Eastridge Elementary (1*/2) – Fernwood Elementary (1*/3) – Frank Love Elementary (2*/18) – Inglemoor High School (1*/0) – Kenmore Middle School (0/2) – Kokanee Elementary (1*/2) – Leota Middle School (0/3) – Maywood Hills Elementary (8**/7) – Moorlands Elementary (0/3) – North Creek High School (1*/1) – Northshore Middle School (1*/8) – Ruby Bridges Elementary (2*/2) – Skyview Middle School (0/2) – Sunrise Elementary (1*/2) – Timbercrest Middle School (2*/5) – Wellington Elementary (3*/5) – Westhill Elementary (3*/0) – Woodin Elementary (1*/1) – Woodinville High School (2*/1) – Woodmoor Elementary (1*/6)
Local Districts Scorecard – * indicates positive cases only ** indicates 5 or more confirmed positive cases – (x*/y) x is positive cases and 7 quarantined, quarantined does not include positive cases
We redefined the school district statuses. Information for classroom and building closures has been a challenge to obtain, both for closures and reopening. We are adopting moving any school with more than ten active COVID cases reported into the red, and we’ve adjusted the third column to reflect this change.
Based on reader feedback, and improvement in the data we are receiving, we have adjusted how we are reporting data. The Lake Washington and Northshore School Districts are now reported as (X*/Y) or (X**/Y). X represents the number of positive cases while Y represents how many are in quarantine. The number in quarantine does not include positive cases. If there are two asterisks, that indicates five or more confirmed cases within the last 14 days at that school.
The Northshore School District moved back to status yellow, with the outbreak at Maywood Hills Elementary under control. The Bellevue School District finishes out the week status green with eight confirmed cases districtwide.
The Lake Washington School District updates data once a week, and we’ve had no parent confirmed reports on new COVID cases this week.
We continued to encourage parents to request daily updates from the Lake Washington School District. This change would bring the three school districts we track into alignment.
Bellevue-Bothell-Kirkland-Woodinville local COVID news
No update
National Round-Up
Johns Hopkins University Cumulative Case Tracker reports 111,112 new cases and 1,633 deaths nationwide on Wednesday. The Delta variant continues to target the unvaccinated and a very small, but growing number of people vaccinated more than six months ago. New cases are up 14% since last week.
Update: CDC Director Rochelle Walensky granted final approval to the FDA amendments of the Pfizer and Moderna EUAs.
[WASHINGTON, D.C.] – (MTN) The U.S. Food and Drug Administration amended the emergency use authorizations (EUA) for the Moderna and Pfizer-BioNTech Covid-19 vaccines authorizing a single booster dose for all individuals 18 and older six months after receiving their second dose. Shortly after, the Centers for Disease Control panel of vaccine scientists unanimously endorsed the FDA’s authorization. CDC Director Rochelle Walensky needs to provide final approval, but that is expected to happen on Friday.
Pfizer requested the Emergency Use Authorization (EUA) for its Covid-19 vaccine to be amended to include booster doses for all adults on November 9 and Moderna made an identical request on November 17. Previously, only adults 65 and over, and people 18 to 64 with certain medical conditions, work in specific jobs, or live in communal areas were authorized to get a booster if they had received an mRNA vaccine from either company.
Almost all of these people would be eligible for a booster shot. Despite the mounting evidence that immunity wanes after five to seven months, only 675,000 residents have received boosters through November 7.
Data out of Israel, the United Kingdom, and Germany indicate that the United States is woefully unprepared for a sixth wave. Israel authorized boosters for older residents in July at the beginning of its fifth wave and expanded the program to include everyone 12 and older in September. That program was instrumental in ending the fifth wave.
For 9.2 million Israelis, COVID is now endemic. The government took a unified approach, enabling local councils within individual communities to determine if their city was green, yellow, or red. Almost all of Isreal is in a “green life category.” Masks aren’t required and life, travel, business, and entertainment are normal. Israel has a similar vaccination rate to the United States but a much larger number of people who received boosters.
Multiple studies have shown that infection acquired immunity and vaccine immunity are strong for five to seven months and then start to wane. In December 2020 health officials set expectations that it was unknown how long immunity would last, and many indicated that future booster shots would be likely. Anti-vaccination advocates and disinformation campaigns have used waning immunity as a talking point to sow distrust in vaccination programs.
Last month, the FDA and CDC approved booster shots for anyone 18 and older that received the viral-vector Johnson & Johnson vaccine.
Knowledge is the best tool to fight against fear. A wise person chooses to be informed so they can make sound decisions. To join the fight against COVID misinformation, you can share this update through your social media platform of choice.
[KING COUNTY, Wash.] – (MTN) New cases declined slightly while hospitalizations now rest on a seven-day-old plateau as Washington approaches the end of the 21st month fighting Covid-19. Sixteen counties no longer have “high transmission” rates.
In state news, British Columbia and Washington have eased border crossing rules, waiving COVID test requirements at some crossings. Drivers who need to bypass road closures due to flooding and mudslides can cross the border without the required PCR test, but only if they agree they are transiting between border crossing.
Governor Inslee backed down from plans to use stricter measures for Washington employers with 100 or more workers, as the nation waits to see what happens to the Biden Administration’s OSHA Covid-19 vaccination requirements.
The Washington State Department of Health announced that free in-home COVID test kits will be made available in nine counties.
Locally, the Bellevue School District is down to five confirmed COVID cases districtwide between students and staff. In the Northshore School District, Maywood Elementary is dealing with a surge of new Covid-19 cases, with 11 cases, eight confirmed this week.
Nationally the number of new cases is up 14% and more governors provided guidance or directives to make booster shots available to all adults. The vaccination deadline is ten days away from the U.S. Navy and Marine Corps. The Pentagon reported 99% of sailors are vaccinated versus 93% of marines.
The NFL is dealing with another potential COVID scandal, with Tampa Bay Buccaneers wide receiver Antonio Brown accused of buying a fake vaccination card.
New Covid-19 case rates are showing a pattern of county hotspots instead of widespread transmission. As an example, Chelan County just rolled over 60% of all residents vaccinated this week but is dealing with a bump in new cases.
There remains a significant difference between lower-vaccinated counties and counties where at least 70% of the total population is fully inoculated.
If Washington state wants to ever get to a place of endemic spread, the data indicates the bare minimum vaccination rate would be 70% of the entire population.
Percent of Total Population Fully Vaccinated
Total Population in Group
Average 14-Day New Case Rate
70.00% or above (3 counties)
2,343,250
167.4
60.00% to 69.99% (4 counties)
1,242,200
328.5
50.00% to 59.99% (17 counties)
3,664,000
306.1
40.00% to 49.99% (9 counties)
375,575
285.1
31.80% to 39.99% (6 counties)
151,850
241.3
14-Day New Covid-19 Cases per 100K average by Vaccination Rate for Total Population, Adjusted for Population by County
Through November 17, Washington’s statewide 14-day rolling average is 264.5 Covid-19 cases per 100K. There are signs that a new plateau is forming with transmission rates too high coming into the start of the holiday travel season.
Chelan, Douglas, Klickitat, Lewis, Lincoln, Skagit, and Spokane counties have new case rates between 400.0 and 599.9. Okanogan and Grays Harbor Counties were just under 400.
Sixteen counties representing 3.52 million Washingtonians have a 7 day moving average case rate under 100.
The 7 day new case rate was unchanged and the hospitalization rate increased for elderly patients 80 and older..
Age Group
7-Day Case Rate
7-Day Hospitalization Rate
Ages 0-11
119.8
0.7
Ages 12-19
111.1
0.9
Ages 20-34
116.7
2.8
Ages 35-49
125.3
5.9
Ages 50-64
94.9
9.6
Ages 65-79
64.0
16.0
Ages 80+
66.0
25.7 (up)
7-day case rate and 7-day hospitalization rate is per 100K within the age group – the target for 7-day case rate is <25.0, but there are other factors such as vaccination rates within the age groups, how many total tests within the 7-day period, and the positivity rate within each age group
“Given the current situation in B.C., travelers who must transit through the United States to get to their residence in Canada are exempt from the COVID-19 pre-arrival test, the test in Canada, and quarantine requirements,” stated a Canada Border Services Agency (CBSA) spokesperson by email.
CBSA expects to be using pre-existing exemptions within federal government orders to apply to travelers who are simply transiting Washington State highways, such as between the Osoyoos border crossing and checkpoints entering Surrey.
Individuals will still need to present a valid passport to cross the international border.
Governor Inslee backs down on expansion of OSHA vaccine and test requirements
During media availability today, Governor Jay Inslee indicated the state was backing down on expanding pending Biden Administration rules that would require companies with more than 100 employees to have vaccinated staff or rest weekly. Earlier the governor had said the state was considering removing the testing requirement and applying the same standard to medium and large private employers that are required for state employees.
The new OSHA rules that were supposed to go into effect on January 5, 2022 are in limbo. The 5th Circuit Court of Appeals upheld a stay of the mandate, calling it “staggeringly overbroad,” saying it failed to account for the different levels of risk faced by workers in different workplace settings. The court ruled OSHA may not implement the mandate unless another court overturns the ruling.
The 6th Circuit Court was selected using a ping pong ball to hear the broader case, which will likely head to the Supreme Court.
Nine Washington counties offering free at-home Covid-19 test kits
Nine counties in the northeastern, south central, and southwestern parts of Washington will offer free at-home COVID tests to residents.
Kira Lewis, a public health nurse at the Spokane Regional Health District, says at-home tests take about 10 minutes, and could be taken Thanksgiving or Christmas morning before going over to a family member’s house.
“More testing in the community that’s accessible to all members of the public helps people make good decisions about their social lives and interacting with others,” she said. “That is important for the individual and it’s important for our community as a whole moving forward, continuing to have high rates of transmission in our area. We need to meet that with high rates of available testing.”
The nine counties are Adams, Benton, Cowlitz, Ferry, Franklin, Okanogan, Pend Oreille, Spokane, and Stevens.
Travel Advisories
Due to severe flooding and strained hospital resources, we are maintaining the travel advisory for the Northwest Hospital Region. The region includes Clallam, Jefferson, Kitsap, and Mason counties.
We continue to advise to avoid all nonessential travel to Alaska, Colorado, Idaho, and Montana. Hospital resources in these states remain constrained, and you may receive inadequate care if you experience a serious medical emergency.
Finally, we continue to recommend avoiding recreational travel to Wyoming. The situation continues to improve but hospital resources remain constrained.
Thank you
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Vaccination
More states open up booster shots to all adults
Kentucky, Louisiana, Maine, Massachusetts, Vermont, and Utah joined eight other states already opening up booster shots to all adults, as more governors try to get ahead of the start of a sixth wave.
New York and Rhode Island haven’t made boosters available to all adults statewide, but are asking healthcare providers not to turn anyone away in counties with high transmission rates.
If you are eligible for a Covid-19 booster shot Malcontent News strongly encourages you to not delay getting your second or third dose. It is fast, free, and easy. There is growing evidence that the half-life of Covid-19 vaccines is six to ten months, and the half-life for so-called natural immunity is 5 to 7 months.
According to the Washington State Department of Health, through November 7, 675,000 residents have received their Covid-19 booster. Over 1.8 million adults in Washington have a BMI of 25 or higher or are older than 65.
King County, Washington is reporting over 83.5% of age eligible residents are vaccinated with at least one dose. The highest rates of positivity are in areas with low vaccination rates statewide. The FDA has provided full approval of the Pfizer vaccine for anyone 16 and over and EUA approval for the Moderna and Johnson & Johnson vaccines. The Pfizer vaccine has EUA approval for children 5 to 15 years old.
COVID vaccines and boosters are free for anyone 5 and older. Lyft and Hopelink provide free transportation, and KinderCare, the Learning Care Group, and the YMCA offer free childcare during vaccination appointments or recuperation.
Hospital readiness continues to slowly improve except on the Olympic Peninsula. Although the number of COVID patients under care is in decline, the total number of hospitalized patients is unchanged due to deferred elective surgeries, increased movement among the population creating more injuries, and other wintertime diseases.
According to the DoH COVID Dashboard, 91.2% of all staffed acute care beds are occupied, and 12.3% of patients have Covid-19. Statewide, hospitals have the staff to support approximately 633 additional acute care patients.
ICUs are at 87.6% of capacity statewide, with 20.2% of ICU patients fighting Covid-19 – an estimated 238 patients with 49.1% on ventilators. The state has the staff to support approximately 147 additional ICU patients.
On Wednesday, the 7 day rolling average hospital admission rate for new COVID patients was 89. The Department of Health reported 882 Covid-19 patients statewide with 117 requiring ventilators. The number of hospitalized Covid-19 patients has been in the mid-800s to low-900s for seven days in a row.
Hospital status by region – ICU Occupancy should be below 80%, ICU COVID Patients should be below 20%, Acute Care Occupancy should be below 80%, and Acute Care COVID Patients should be below 10%
School Readiness
School District
Status
Less than 10 Active Cases
10 or More Active Cases
Bellevue
GREEN
– Bennett (1*) – Bellevue (1*) – International (1*) – Puesta del Sol (1*) – Somerset (1*)
None
Lake Washington
YELLOW
– Alcott (3*/11) – Audubon (1*/7) – Blackwell (2*/3) – Carson (1*/3) – Clara Barton (4*/24) – Eastlake High (1*/17) – Ella Baker (2*/4) – Evergreen Middle School (1*/0) – Finn Hill Middle School (5) – Inglewood Middle School (5**/34) – Juanita High (1*/12) – Kamiakin Middle School (2*/27) – Kirk Elementary (3*/13) – Kirkland Middle School (1*/10) – Lakeview Elementary (1*/1) – Lake Washington High School (3*/7) – McAuliffe (2*/6) – Northstar Middle School (12) – Redmond High School (1*/12) – Renaissance Middle School (1*/6) – Rose Hill Middle (1*/7) – Rush Elementary (3*/0) – Sandburg/Discovery (1*/4) – Smith Elementary (1*/9)
None
Northshore
RED
– Arrowhead Elementary (0/1) – Bothell High School (5**/9) – Canyon Creek Elementary (4*/24) – Canyon Park Middle School (1*/12) – Crystal Springs Elementary (3*/34) – Eastridge Elementary (1*/3) – Fernwood Elementary (1*/2) – Frank Love Elementary (0/6) – Hollywood Hills Elementary (2*/0) – Inglemoor High School (4*/1) – Kenmore Middle School (1*/2) – Kokanee Elementary (1*/1) – Leota Middle School (2*/1) – Moorlands Elementary (0/5) – North Creek High School (2*/8) – Northshore Middle School (1*/9) – Ruby Bridges Elementary (1*/4) – Shelton View Elementary (0/1) – Skyview Middle School (0/1) – Sunrise Elementary (1*/4) – Timbercrest Middle School (2*/8) – Wellington Elementary (1*/5) – Westhill Elementary (2*/3) – Woodin Elementary (3*/5) – Woodinville High School (2*/2) – Woodmoor Elementary (2*/3)
– Maywood Hills Elementary (11**/5)
Local Districts Scorecard – * indicates positive cases only ** indicates 5 or more confirmed positive cases – (x*/y) x is positive cases and 7 quarantined, quarantined does not include positive cases
We redefined the school district statuses. Information for classroom and building closures has been a challenge to obtain, both for closures and reopening. We are adopting moving any school with more than ten active COVID cases reported into the red, and we’ve adjusted the third column to reflect this change.
Based on reader feedback, and improvement in the data we are receiving, we have adjusted how we are reporting data. The Lake Washington and Northshore School Districts are now reported as (X*/Y) or (X**/Y). X represents the number of positive cases while Y represents how many are in quarantine. The number in quarantine does not include positive cases. If there are two asterisks, that indicates five or more confirmed cases within the last 14 days at that school.
The Northshore School District moves to status red with Maywood Hills Elementary reporting 11 confirmed COVID cases and eight this week. It is the largest Covid-19 outbreak in terms of new cases reported at the same time in the three school districts Malcontent News tracks since school started.
The Bellevue School District stays status green with five confirmed cases in the last 14 days districtwide. Additionally, we can process quarantine data by the day, and we will start tracking those numbers next week.
The Lake Washington School District updates data once a week, and we’ve had no parent confirmed reports on new COVID cases this week.
We continued to encourage parents to request daily updates from the Lake Washington School District. This change would bring the three school districts we track into alignment.
Kirkland-Bellevue-Woodinville
No update
National Round-Up
Johns Hopkins University Cumulative Case Tracker reports 111,106 new cases and 1,622 deaths nationwide on Wednesday. The Delta variant continues to target the unvaccinated and a very small, but growing number of people vaccinated more than six months ago. New cases are up 14% since last week.
Vaccination deadline looms for active duty U.S. Navy and Marine Corps personnel
The Pentagon reported that 99% of sailors and 93% of Marines were either fully or partially vaccinated, with the November 28 deadline ten days away. Among the five branches, the Navy has the highest vaccination rate while the Marines have the lowest.
Marines and sailors who choose not to get the Covid-19 vaccine by the end of November will be released from the service, in a general but honorable discharge, officials with those services have said, making them ineligible for some benefits from the GI Bill.
The Orange County Register reported a message sent to the troops said “Marines refusing to take the vaccine absent medical exemptions, religious accommodations or pending appeal,” will be processed for discharge and additional disciplinary action or even a court martial is not out of the question. The Navy has issued a similar message.
Army will push out soliders who refuse to get Covid-19 vaccine
Soldiers who refuse to get the COVID-19 vaccine and have not requested an exemption will no longer be allowed to re-enlist or be promoted, effectively ending their military careers, according to a report by Defense One. The new directive applies to active-duty troops as well as reservists and National Guardsmen, including those serving in states whose governors do not require the vaccine.
The Nov. 16 memo, signed by Army Secretary Christine Wormuth, says troops’ service records will be flagged the day they make their final vaccine refusal, which follows a meeting with a medical professional and a second order to get vaccinated. This flag will bar them from being promoted, reenlisting, continuing to receive enlistment bonuses, attending service-related schools, or receiving tuition assistance.
“I authorize commanders to impose bars to continued service…for all soldiers who refuse the mandatory vaccine order without an approved exemption or pending exemption request,” Wormuth wrote in the memo. “The Soldier will remain flagged until they are fully vaccinated, receive an approved medical or administrative exemption, or are separated from the Army.”
Tampa Bay Buccaneers wide receiver Antonio Brown accused of buying fake vaccine card
Days after brushing aside Green Bay Packers quarterback Aaron Rodgers less than truthful vaccination status, wide receiver Antonio Brown is accused by his former chef of buying a fake vaccination card, plunging the NFL into another public relations mess.
The Tampa Bay Times broke the story earlier today, with the chef claiming Brown bought the card to avoid NFL protocols. If true, Brown in theory could face massive fines from the NFL for repeated protocol violations. Aaron Rodgers broke as many as 16 Coivid-19 protocols but was ultimately fined $14,650 for attending an unsanctioned Halloween party.
EXCLUSIVE: Bucs receiver Antonio Brown obtained a fake COVID-19 vaccination card to avoid NFL protocols, according to his former live-in chef.
Brown could be in additional trouble with the FBI. Buying a fake vaccination card is a federal crime. The Tampa Bay Buccaneers issued a brief statement via Twitter, indicating they had collected all vaccination records during the preseason and “no irregularities were observed.”
Phoenix will require all city employees to be vaccinated by January 22, 2022, or face termination. Phoenix joins other cities such as New York City, Los Angeles, San Francisco, and Seattle that already require government employees to be vaccinated against COVID.
A news release from UCHealth issued on Thursday states a team of about 20 nurses, providers, respiratory therapists, and administrators will be deployed to UCHealth Poudre Valley Hospital (PVH) for about a month. The team is expected to ease capacity and staffing challenges. The request came from Gov. Jared Polis.
“We are so grateful that this team will assist us in providing exceptional care in northern Colorado,” said Kevin Unger, the president, and chief executive officer at PVH and UCHealth Medical Center of the Rockies in Loveland. “We anticipate this additional support and other plans we already have in the works will help make a significant difference.”
District of Columbia
Mayor Muriel Bowser of Washington said on Tuesday that an indoor mask mandate in the nation’s capital would be eased on November 22, reflecting a shift away from mask requirements as coronavirus vaccination rates continue to rise and infections fueled by the Delta variant subside in the city.
The New York Times reported about 88 percent of the District of Columbia’s adult residents have received at least one vaccine dose, according to city health officials.
Masks will still be required in certain circumstances, including on public transportation, inside school buildings, and in congregate living facilities like nursing homes, college dormitories, and jails.
Idaho
In what could be read as a victory for Governor Brad Little and a blow to Lt. Governor Janice McGeachin, the Idaho legislature ended its special session making almost no changes to state COVID policies.
The Senate did adopt a memorial piece of legislation that sends a message to the president and Congress “to make a very forceful statement about our position on the presidential mandates related to Covid-19,” said Senate Majority Leader Chuck Winder.
The lawsuit alleges that the woman’s 15-year-old girl was vaccinated by a Walmart employee at the store’s pharmacy without parental consent. The 15-year-old girl wanted the COVID-19 vaccine so she could hang out with her friends.
“The biggest problem I have with this situation is that Walmart vaccinated my daughter without my consent and knowledge,” said the girl’s mom Michelle Tonkinson.
In a statement, Walmart said, “Walmart is committed to offering quality and compliant health care. We take allegations like this seriously. We will review the claims and respond with the court as appropriate once we are served.”
Massachusetts
Massachusetts health officials reported another 3,196 confirmed COVID-19 cases — the most in one day since February — and eight new deaths Thursday, according to a report by NBC 10.
The report pushed the state’s number of confirmed COVID-19 cases to 826,996 since the start of the pandemic and its death toll to 18,834.
The number of new confirmed cases in Wednesday’s report from the Department of Public Health had been the most in one day since September, according to archival data. But that report included “a backlog of testing results” from several prior days. The prior single-day high had been in February — and February 6 was the last time more than 3,196 cases were confirmed in one day.
Massachusetts Governor Charlie Baker announced the state was opening up booster shots to anyone over 18 years old, joining a growing list of states breaking with current FDA guidelines.
Minnesota
Hospitals across the state are delaying surgeries to free up bed space in the face of growing concerns over hospital capacity constraints, according to a report by KSTP.
“Things have been getting worse in the last couple of weeks,” said Rahul Koranne, president and CEO of the Minnesota Hospital Association. “We have emergency departments that are full of patients. We have patients in beds in hallways. Our units are full.”
Only 1.1% of ICU beds and 0.5% of non-ICU beds were available in the metro Thursday, according to response capacity data from the Minnesota Department of Health.
“Everybody’s delaying surgeries. We’re pulling this lever across the board. Our care teams, our leaders, our surgical teams are making this decision minute by minute,” Koranne said. “Shoulder surgeries, knee surgeries, but even the last couple of weeks, what we are having to do unfortunately is push back some heart surgeries. At the end of the day, we only have a limited amount of care capacity available.”
Missouri
On Thursday, the Missouri Department of Health and Senior Services once again reconfigured the state’s COVID data dashboard, adding thousands of previously unreported deaths and infections, according to a report by the St. Louis Dispatch.
Some date back to the spring of 2020, and many are instances of illness or death now attributed to Covid-19 but that weren’t publicly tallied by the state at the time.
As part of the update, the state also began reporting COVID cases that occurred after vaccination or prior infection. The numbers show that such cases have been remarkably rare, and are most common among those with underlying health conditions.
The department added 2,792 “probable” Covid-19 deaths, increasing the state total 22%
New Mexico
According to state health officials, around 25% of all COVID-19 cases in the last week were among children in a report by KOB.
School-age children are included in that group, so could this impact in-person learning? School districts around the state have new “enhanced” COVID procedures in place, in case the surge gets worse.
If a school has a certain percentage of COVID-positive cases, that facility would be required to start implementing those additional measures. The good news, so far, is that both Rio Rancho Public Schools and Albuquerque Public Schools said they have not reached that point, they hope to keep it that way.
Utah
For the third day in a row, 13 Utahns have been added to the death toll from COVID-19 — a number that now stands at 3,411 people, according to the Utah Department of Health in a story published by the Salt Lake Tribune.
The health department on Thursday also reported 1,789 new coronavirus cases in the past day. The rolling seven-day average for positive tests stands at 1,633 per day.
Intensive care units in the state remain near capacity, and over capacity in the state’s largest hospitals. According to the health department, 96.7% of all ICU beds and 101.8% of ICU beds in larger medical centers are occupied. (Hospitals consider anything over 85% to be functionally full.) Of all ICU patients, 44.2% are being treated for COVID-19.
Virginia
On Thursday, Sentara Healthcare faced off in court with one of their own doctors, Paul Marik, according to WTKR.
Marik, who is the director of the Critical Care Unit at Sentara Norfolk General Hospital, is suing the healthcare system because they won’t allow him to treat COVID-19 patients with the drug ivermectin, along with a host of other drugs that make up his developed MATH+ Protocol.
“Almost all of the treatments we use have been demonstrated to be safe and effective in randomized controlled trials,” Marik said.
Marik claims that Sentara’s policy may have led to the deaths of four of his patients who were never given the opportunity to learn of or be treated with potentially life-saving medicines. He said these actions are criminal.
There is not a single peer reviewed study that used accurate placebo controlled double blind study data that indicates Ivermectin is effective as a preventative or treatment. The largest validated study to date indicated that for the sickest patients, the antiparisitic drug was counterindicated.
Knowledge is the best tool to fight against fear. A wise person chooses to be informed so they can make sound decisions. To join the fight against COVID misinformation, you can share this update through your social media platform of choice.
[KING COUNTY, Wash.] – (MTN) New cases and hospitalizations are down and vaccination rates are up across the Evergreen state but for 9,028 Washingtonians progress came too late as the state crossed another grim milestone.
New cases continue to drop statewide and the Washington State Department of Health (DOH) reported 80% of all residents 12 or older have received at least one dose of the Covid-19 vaccine. Despite the success, Washington ranks about 14th nationally for the most vaccinated population. The DOH also reported that hospitalizations are down significantly from last week.
A report from the DOH indicated that children and adolescents in Eastern Washington have the highest incidents of Covid-19 infections in the state during the last two weeks of October.
Kaiser Peramente reported 828 Washington residents received an expired dose of the Moderna vaccine between October 25 and 27 and they are reaching out to impacted patients. If you have concerns you can call (206) 630-2080.
State Senator Doug Ericksen (Ferndale-R) reported he had COVID and was stuck in the Latin American nation of El Salvador. Ericksen, who has tried to block vaccination programs is reported to have flown out of the country by air ambulance tonight.
Locally, King County has updated how they report vaccination rates to include children 5 to 11 and the initial data is very encouraging. In the Bellevue-Kirkland-Woodinville region along with the supporting school districts, first dose vaccination rates ranged from 81.7% to 95.0% for all residents. In little more than a week, 18.5% to 35.5% of children 5 to 11 got their first dose of the COVID vaccine, depending on the zip code they live in.
Covid-19 cases in the Bellevue, Lake Washington, and Northshore School Districts remain under control.
Nationally, Dr. Anthony Fauci has called for boosters for all and the states of Arkansas, California, Colorado, New Mexico, West Virginia, along with New York City decided not to wait for FDA authorization. The DOH reported they will continue to follow existing federal guidelines.
When it comes to boosters, Mr. T. (yes, that Mr. T.) pity the fool who doesn’t get their booster shot. The 69-year old actor and former wrestler got his booster shot on November 13.
Pfizer has formally requested for Emergency Use Authorization from the FDA for the antiviral drug Paxlovid. In Phase 2 and 3 testing and when combined with another HIV drug, Paxlovid reduced hospitalizations by 89% for people infected with COVID, if taken within the first five days of early symptoms.
The Centers for Medicare and Medicaid Services announced new guidelines for residents of nursing homes. The sweeping changes essentially eliminates all visitation restrictions at any facility that receives federal funding.
In other national news, a Connecticut nursing home is reporting an outbreak of Covid-19 sickened 89 and killed eight. A grieving Georgia husband is accusing a school district of working his COVID positive wife to death because she didn’t have any sick time left. Brad Little, governor of Idaho got his Covid-19 booster and shared it on Twitter as the Gem State enters the third month under crisis standards of care. COVID cases are exploding in Maine, Minnesota, and Pennsylvania while hospitals in Alaska, Colorado, and Montana continue to struggle with resources.
A Texas doctor has had their privledges suspended for sharing COVID disinformation, while a doctor turned legislature in Maryland is facing disciplinary action for prescribing invemectin. In Michigan, a third lawmaker is facing criminal charges for groping a nurse practioner while seeking a prescription for his COVID infection.
The Washington State Department of Health has updated the vaccination rate data, shifting the brackets again. With 31.8% of the total population vaccinated, Stevens County remains the least vaccinated county in Washington while San Juan County at 74.5% is at the top of the pile.
Several counties with higher case rates moved into new brackets on Monday. We start to see a decline in these numbers at 55% vaccinated so some of the anomalies in the data will shift in the next 7 to 10 days. The least vaccinated counties are rural and largely agricultural. With the end of farming and harvest season and poor weather, people are congregating less often.
There remains a significant difference between lower-vaccinated counties and counties where at least 70% of the total population is fully inoculated.
Percent of Total Population Fully Vaccinated
Total Population in Group
Average 14-Day New Case Rate
70.00% or above (3 counties)
2,343,250
166.6
60.00% to 69.99% (4 counties)
1,242,200
323.2
50.00% to 59.99% (17 counties)
3,664,000
302.3
40.00% to 49.99% (9 counties)
375,575
362.5
31.80% to 39.99% (6 counties)
151,850
300.3 (down)
14-Day New Covid-19 Cases per 100K average by Vaccination Rate for Total Population, Adjusted for Population by County
Through November 15, Washington’s statewide 14-day rolling average is 267.0 Covid-19 cases per 100K.
Chelan, Douglas, Grant, Klickitat, Lewis, Lincoln, Skagit, and Spokane counties have new case rates between 400.0 and 599.9. Cowlitz, Mason, Pend Oreille, and Stevens counties were just under 400.
Fourteen counties representing 3.14 million Washingtonians have a 7 day moving average case rate under 100.
The 7 day new case rate and hospitalization rate has decreased from last week.
Age Group
7-Day Case Rate
7-Day Hospitalization Rate
Ages 0-11
118.9
0.9
Ages 12-19
113.8
0.7
Ages 20-34
120.1
2.7
Ages 35-49
126.6
5.4
Ages 50-64
90.8
9.4
Ages 65-79
62.6
14.1
Ages 80+
70.3
22.5
7-day case rate and 7-day hospitalization rate is per 100K within the age group – the target for 7-day case rate is <25.0, but there are other factors such as vaccination rates within the age groups, how many total tests within the 7-day period, and the positivity rate within each age group
The USA Today COVID Tracker reported 56 deaths on Monday. As of Monday, 9,028 Washingtonians have died from Covid-19 related illness.
IHME forecast points to a sixth wave and 13,530 Washingtonians dead by March 1
The updated IHME forecast points to a sixth wave for Washington with hospitalizations peaking on February 3, 2022. Although the forecast model shows a significant increase in confirmed cases, hospitalizations would not exceed the fifth wave that is currently winding down, and mortality is projected to be much lower due to the high vaccination rate.
If everyone in Washington were to wear a mask, the IHME model predicts we could save 1,500 lives.
Many hospitalists have reported they would not be capable of handling the stress and trauma of another wave, and feel unsupported by the community.
80% of Washingtonians 12 and above have received at least one dose of Covid-19 vaccine
The Washington State Department of Health reported 80.0% of Washingtonians 12 and older have received at least one dose of the Covid-19 vaccine, and 73.9% of the state is fully vaccinated.
According to the Mayo Clinic and through November 7, Washington state ranks eleventh in the United States for children ages 12 to 17 fully vaccinated, ninth for adults 18 to 64, and eight for seniors 65 and older.
When you consider at least a single dose, Washington drops to 14th place for children ages 12 to 17, 14th for adults 18 to 65, and in a 32-way first-place tie for seniors 65 and older.
The red-blue political divide is also strong in the data. Among children 12 to 17 and adults 18 to 64 the first red state is Utah in 19th place. For seniors over 65, Washington is tied with 31 other states that have achieved >99% vaccinated.
Vermont leads for the most vaccinated adolescents while Massachusetts leads with the most vaccinated adults and seniors.
Over 800 Kaiser Peramente patients received expired Moderna vaccine doses
Kaiser Permanente is contacting 828 patients across Washington state that were inadvertently given expired doses of the Moderna vaccine between October 25 and October 27. Both Kaiser Permanente and Moderna have stated that there is no impact on patient safety or efficacy.
“After consultation with Kaiser Permanente clinical experts, there is no evidence that the vaccine administered is ineffective or unsafe,” according to a statement from Kaiser Permanente. “Our clinical experts do not recommend a repeat vaccine dose for patients who were administered these doses.”
Patients with questions about their vaccines can call (206) 630-2080.
Eastern Washington children have the highest case rate in Washington
Education Service District (ESD) 101 encompasses Adams, Ferry, Lincoln, Pend Oreille, Spokane, Stevens, and Whitman Counties and had a 14 day new case rate of 569.5 per 100,000 children and adolescents.
King and Pierce Counties comprise ESD 121 and had a new case rate of 303.1 per 100,000. The lowest rate in the state was on the Olympic Peninsula, known as ESD 114 with a new case rate of 290.0.
Although severe COVID is uncommon in children and adolescents, Mary Bridge Hospital in Tacoma reported that 40% of their hospitalized Covid-19 patients in September developed MIS-C, which can be fatal.
There is little Information about long COVID among children and adolescents and most studies available currently are highly flawed. Among the limited studies that are credible, there isn’t significant evidence that long COVID symptoms last more than 12 weeks among pediatric patients.
State senator Doug Ericksen who fought against vaccine mandates infected with Covid-19 in El Salvador
Washington State Ultra-Conservative Freedom Caucus creator state senator Doug Ericksen (Ferndale-R) reached out to his Washington legislature allies requesting assistance after becoming Covid-19 positive in El Salvador. Ericksen was in the Latin American country as an election observer when he tested positive for COVID.
“I took a trip to El Salvador and tested positive for COVID shortly after I arrived. I cannot get back home, and it’s to the point that I feel it would be beneficial for me to receive iv monoclonal antibodies (Regeneron).”
Over 60% of the residents of El Salvador are fully vaccinated, however, hospitalized treatment for Covid-19 is mostly limited to comfort care and oxygen therapy. Ericksen has not shared if he is vaccinated, nor did he share if he was attempting unproven therapies such as Ivermectin, zinc, Vitamin C or Vitamin D, which would be available.
On October 19, Ericksen called for the resignation of Governor Jay Inslee (WA-D) due to the statewide vaccine mandate.
“Inslee has done significant damage to the credibility of state government and has eroded the public’s trust. Now he is firing thousands of public employees without regard to the harm it will cause. This effort to punish can only be seen as the willful act of a failed governor. Inslee has failed miserably. We don’t take this lightly. But the only thing that can allow our state to heal and move forward is for Jay Inslee to resign.”
On November 1, Ericksen indicated he would try to reintroduce Senate Bill 5144, which would “prohibit discrimination against those who are not vaccinated.”
“Washington state is number one in government coercion, but I don’t think that is an honor the people of Washington want,” Ericksen stated. “This is a natural result of a system that allows the governor to declare an emergency and then keep his sweeping emergency powers as long as he wants.”
There is an unconfirmed report that Ericksen was flown out of El Salvador on an air ambulance today.
Travel Advisories
We are lifting the travel advisory to Eastern Washington. Hospital resources and new case rates have dropped to a level where there are adequate medical resources to support a health emergency.
Due to severe flooding and strained hospital resources, we are maintaining the travel advisory for the Northwest Hospital Region. The region includes Clallam, Jefferson, Kitsap, and Mason counties.
We continue to advise to avoid all nonessential travel to Alaska, Colorado, Idaho, and Montana. Hospital resources in these states remain constrained, and you may receive inadequate care if you experience a serious medical emergency.
Finally, we continue to recommend to avoid recreational travel to Wyoming. The situation continues to improve but hospital resources remain constrained. Wyoming transfers critical patients to Colorado and Utah, and both states have limited to no capacity to take transfer patients.
Thank you
Thank you to our new subscribers and those of you who have made one-time contributions. On behalf of the entire team, thank you for helping us keep the lights on!
“To me, if you want to get to endemic, you have got to get the level of infection so low that it does not have an impact on society, on your life, on your economy,” Fauci said. “People will still get infected. People might still get hospitalized, but the level would be so low that we don’t think about it all the time and it doesn’t influence what we do.”
To get there, he said, would take a lot more people rolling up their sleeves for initial COVID-19 shots and boosters.
If the United States makes boosters available for everyone, it is possible the country can get control of the virus by spring of 2022, Fauci added.
Editor’s Note: Although we agree with Dr. Fauci, we believe it will be near impossible to convince the remaining 62 million American adults who are unvaccinated, to get vaccinated.
Get Your Booster
If you are eligible for a Covid-19 booster shot Malcontent News strongly encourages you to not delay getting your second or third dose. It is fast, free, and easy. There is growing evidence that the half-life of Covid-19 vaccines is six to ten months, and the half-life for so-called natural immunity is 5 to 7 months.
According to the Washington State Department of Health, through November 7, 675,000 residents have received their Covid-19 booster. Over 1.8 million adults in Washington have a BMI of 25 or higher or are older than 65.
King County, Washington is reporting over 83.5% of age eligible residents are vaccinated with at least one dose. The highest rates of positivity are in areas with low vaccination rates statewide. The FDA has provided full approval of the Pfizer vaccine for anyone 16 and over and EUA approval for the Moderna and Johnson & Johnson vaccines. The Pfizer vaccine has EUA approval for children 5 to 15 years old.
COVID vaccines and boosters are free for anyone 5 and older. Lyft and Hopelink provide free transportation, and KinderCare, the Learning Care Group, and the YMCA offer free childcare during vaccination appointments or recuperation.
There has been significant improvement for Hospital Readiness across Washington state except on the Olympic Peninsula. Many hospitals have restarted elective procedures and seasonal illness has returned to Washington state, adding to the overall patient load.
According to the DoH COVID Dashboard, 91% of all staffed acute care beds are occupied, and 12.8% of patients have Covid-19. Statewide, hospitals have the staff to support approximately 621 additional acute care patients.
ICUs are at 88.4% of capacity statewide, with 20.0% of ICU patients fighting Covid-19 – an estimated 236 patients with 44.9% on ventilators. The state has the staff to support approximately 153 additional ICU patients.
On Tuesday, the 7-day rolling average hospital admission rate for new COVID patients was 84. The Department of Health reported 830 Covid-19 patients statewide with 106 requiring ventilators.
Hospital status by region – ICU Occupancy should be below 80%, ICU COVID Patients should be below 20%, Acute Care Occupancy should be below 80%, and Acute Care COVID Patients should be below 10%
School Readiness
School District
Status
Less than 10 Active Cases
10 or More Active Cases
Bellevue
GREEN
– Bennett (1*) – Bellevue (1*) – Clyde Hill (1*) – International (1*) – Lake Hills (2*) – Newport Heights (1*) – Puesta del Sol (1*)
None
Lake Washington
YELLOW
– Alcott (3*/11) – Audubon (1*/7) – Blackwell (2*/3) – Carson (1*/3) – Clara Barton (4*/24) – Eastlake High (1*/17) – Ella Baker (2*/4) – Evergreen Middle School (1*/0) – Finn Hill Middle School (5) – Inglewood Middle School (5**/34) – Juanita High (1*/12) – Kamiakin Middle School (2*/27) – Kirk Elementary (3*/13) – Kirkland Middle School (1*/10) – Lakeview Elementary (1*/1) – Lake Washington High School (3*/7) – McAuliffe (2*/6) – Northstar Middle School (12) – Redmond High School (1*/12) – Renaissance Middle School (1*/6) – Rose Hill Middle (1*/7) – Rush Elementary (3*/0) – Sandburg/Discovery (1*/4) – Smith Elementary (1*/9)
None
Northshore
YELLOW
– Arrowhead Elementary (1*1) – Bothell High School (3*/13) – Canyon Creek Elementary (5**/18) – Canyon Park Middle School (1*/1) – Crystal Springs Elementary (3*/13) – Eastridge Elementary (0/3) – Fernwood Elementary (2*/3) – Frank Love Elementary (0/10) – Hollywood Hills Elementary (3*/0) – Inglemoor High School (5**/2) – Kenmore Middle School (2*/3) – Kokanee Elementary (1*/1) – Leota Middle School (2*/1) – Maywood Hills Elementary (3*/5) – Moorlands Elementary (0/5) – North Creek High School (2*/10) – Northshore Middle School (1*/22) – Ruby Bridges Elementary (2*/6) – Shelton View Elementary (0/2) – Skyview Middle School (0/1) – Sunrise Elementary (1*/4) – Timbercrest Middle School (0/5) – Wellington Elementary (0/3) – Westhill Elementary (3*/3) – Woodin Elementary (3*/7) – Woodinville High School (4*/2) – Woodmoor Elementary (3*/3)
None
Local Districts Scorecard – * indicates positive cases only ** indicates 5 or more confirmed positive cases – (x*/y) x is positive cases and 7 quarantined, quarantined does not include positive cases
We redefined the school district statuses. Information for classroom and building closures has been a challenge to obtain, both for closures and reopening. We are adopting moving any school with more than ten active COVID cases reported into the red, and we’ve adjusted the third column to reflect this change.
Based on reader feedback, and improvement in the data we are receiving, we have adjusted how we are reporting data. The Lake Washington and Northshore School Districts are now reported as (X*/Y) or (X**/Y). X represents the number of positive cases while Y represents how many are in quarantine. The number in quarantine does not include positive cases. If there are two asterisks, that indicates five ore more confirmed cases within the last 14 days at that school.
The Bellevue School District moves back to status green with eight confirmed cases in the last 14 days districtwide. In the Lake Washington School District, Inglewood Middle School reported five confirmed cases on Monday, moving the school to status yellow.
We continued to encourage parents to request daily updates from the Lake Washington School District. We would also encourage parents to request the Bellevue School District include data on close contacts and quarantines. These two changes would bring the three school districts we track into alignment.
Kirkland-Bellevue-Woodinville
King County Public Health updated the vaccination rates by zip code and now reports the data from ages 5 and up. This resets vaccination status through the region. Based on reader feedback, we have added zip codes 98008, 98053, 98074, 98075, and 98077 to fully ecompass the Lake Washington School District and the King County portions of the Northshore School District.
Vaccination rates for children between 5 to 11 are in a word, remarkable.
Percentage of King County Residents 5 and older who have received at least one dose of COVID vaccine, November 16, 2021
Zip Code
Percent vaccinated, at least one dose, 5 to 11 years old
Percent vaccinated, at least one dose, 5 and older
98155
20.5%
89.5%
98028
22.5%
85.9%
98011
18.0%
82.7%
98034
22.6%
81.7%
98033
35.5%
90.0%
98072
19.9%
85.2%
98077
18.5%
76.7%
98052
30.5%
91.7%
98004
25.0%
95.0%
98039
26.5%
87.5%
98005
26.7%
91.7%
98007
14.0%
86.0%
98008
19.1%
88.0%
98053
31.9%
90.2%
98074
28.1%
93.5%
98075
22.5%
91.4%
Vaccination rates with at least one dose
National Round-Up
Johns Hopkins University Cumulative Case Tracker reports 143,685 new cases and 1,241 deaths nationwide on Tuesday.
Pfizer formally requests Emergency Use Authorization for the antiviral Paxlovid and agrees to license the drug to 95 countries
“With more than 5 million deaths and countless lives impacted by this devastating disease globally, there is an urgent need for life-saving treatment options. The overwhelming efficacy achieved in our recent clinical study of Paxlovid, and its potential to help save lives and keep people out of the hospital if authorized, underscores the critical role that oral antiviral therapies could play in the battle against COVID-19,” said Albert Bourla, Chairman and Chief Executive Officer, Pfizer. “We are moving as quickly as possible in our effort to get this potential treatment into the hands of patients, and we look forward to working with the U.S. FDA on its review of our application, along with other regulatory agencies around the world.”
In Phase 2 and Phase 3 testing, Paxlovid provided an 89% reduction in risk of COVID-19-related hospitalization or death from any cause in patients treated with PAXLOVID compared to placebo within three days of symptom onset, with no deaths in the treatment group. Similar results were seen within five days of symptom onset.
Additionally, Pfizer announced it has signed a voluntary licensing agreement to expand production of Paxlovid, to 95 low- and middle-income countries, covering 53% of the world’s population.
Dr. Soumya Swaminathan, Chief Scientist for the World Health Organization welcomed the news in a tweet.
Good to see the license for new #COVID19 antiviral from @pfizer will be available through @MedsPatentPool for LMICs. This drug can prevent severe illness in high risk individuals if given in 1st 5 days. @WHO guidelines group will review data when available & make recommendations https://t.co/SZgQ2bS8Z0
The 69-year old actor and retired professional wrestler Mr. T tweeted over the weekend that he received his Covid-19 booster shot, declaring, “I pity pain!”
He thanked his doctor and nurses and told TMZ he wanted to play it safe.
I am Blessed and I am Thankful. I just got my Booster Vaccination shot. My arm is a little sore but no pain. I Pity Pain! Thanks again to all the Doctors and Nurses…
More states break with the FDA/CDC and approve boosters for all
The list of states that are recommended for anyone 18 or older to get a booster continues to grow. Last week Colorado and California broke ranks with the FDA and recommended all residents over 18 who got their first dose of the Johnson & Johnson vaccine more than 60 days ago, or the mRNA Pfizer or Moderna second dose more than 180 days ago to get their COVID booster.
For some states, “the reason they’ve gone ahead and done this is they are really concerned about experiencing another wave in their state of transmissions and we have seen in some states an uptick in Covid-19 cases. Unfortunately, a lot of those are driven by those who are not vaccinated, but there are some breakthrough infections among those who are vaccinated,” Hemi Tewarson, executive director of the National Academy for State Health Policy, told CNN on Tuesday.
Washington, Oregon, California, Nevada, and Colorado created the Western States Pact to align their Covid-19 response, share research, and public education. The Washington State Department of Health stated last week that Washington has no plans to deviate from current federal guidelines.
Editor’s Note: It is our opinion that DOH’s stance is a mistake given the strong evidence that a sixth wave is coming. It is our recommendation to get a booster if you’re eligible, and a lot of people are eligible.
Centers for Medicare and Medicaid Services eases rules for nursing home visits
“Early in the pandemic, visitation restrictions were implemented to mitigate the risk of visitors introducing COVID-19 to the nursing home. Today’s guidance update reflects that, while visitors, residents, or their representatives should be made aware of the risks associated with visiting loved ones, visitation should now be allowed for all residents at all times.”
Visits must also be allowed to take place indoors for all residents, whether they’re vaccinated or not, even when a facility is experiencing a COVID-19 outbreak investigation or when a resident is on transmission-based precautions or quarantine. While visits under such conditions are “not recommended” by the CMS, they must be allowed if that’s what a resident chooses.
State Updates
Connecticut
A Connecticut nursing home has moved into recovery mode after suffering an outbreak of COVID-19. Geer Village said that the outbreak, which started in September, left eight residents dead and 89 residents and staff members infected according to a report by CBS News.
The North Canaan-based facility, which includes independent and assisted living among other services, said it conducts bi-weekly testing on residents and staff. In a statement, Director of Nursing Cady Bloodgood and Chief Executive Officer Kevin O’Connell said they are continuing to “monitor the situation closely.”
“Sadly, we have lost 8 residents with serious underlying health issues to COVID,” the facility said on Friday. “We are encouraged to see 69 staff and residents already recovered and coming off isolation. While we must continue with COVID-19 prevention protocols, we want to assure everyone we are doing our best to keep residents and staff safe.”
Georgia
A husband is accusing school officials of making his wife continue to work at a Georgia school despite being COVID positive, ultimately causing her to die according to a report by WSB.
Sara Anderson, was a cafeteria worker at Conyers Middle School who died from COVID on October 5.
“She was a hard worker, and if a manager asked her to do anything, she did it,” Robert Anderson said. He said Sara started feeling sick on September 15 and felt worse the next day. He says her manager told her she was out of sick days and that she had to go into work.
“She was pressured into going to work again, and that was on the 17th. On the 18th, she passed out,” Robert Anderson said.
Doctors diagnosed Sara Anderson with COVID, and then COVID pneumonia. A few days later, she was in the ICU and passed on October 5.
Idaho
Idaho governor Brad Little received his Covid-19 booster shot publicly in an attempt to urge others in his state to get vaccinated. Idaho entered its third month operating at crisis standards of care on November 16, with COVID cases still raging through the Panhandle region.
State health officials Tuesday reported 1,627 COVID-19 patients were being treated in hospitals throughout Illinois, according to the Daily Herald. Of those hospitalized, 325 were in intensive care, according to the Illinois Department of Public Health.
Hospitalizations have increased by 16.8% from a week ago, IDPH figures show. Current the state test positivity rate is 2.8%, which points to over-testing, but increased from 2.2% a week ago.
Maine
More and more signs are emerging that COVID-19 is spreading rapidly through Maine, especially among unvaccinated populations, contributing to troubling spikes in hospitalizations and deaths as a holiday week approaches.
The state set yet another pandemic high with 275 hospitalizations on Tuesday and also set a record for the rate of tests that are coming back positive, 8.5 percent on average over the last seven days. Thirteen additional deaths were reported Tuesday as well.
Representative Andy Harris (R-Md.) said a complaint was filed against him with a medical board for prescribing ivermectin to COVID-19 patients.
Harris alluded to the complaint during the House Freedom Caucus meeting about vaccine mandates on Monday, The Baltimore Sun reported.
“An action is currently being attempted against my medical license for prescribing ivermectin, which I find fascinating, because as an anesthesiologist, I know I use a lot of drugs off-label that are much more dangerous,” Harris said at the meeting.
Michigan
Michigan state Senator John Bizon faces misdemeanor assault charges after a nurse practitioner with Oaklawn Medical Group accused him of inappropriately touching her while seeking medication to treat his Covid-19 infection.
The incident in question occurred on August 14, at Oaklawn After Hours Express in Marshall, according to a report filed with the Marshall Police Department on August 17. Two health practictioners filed complaints about Bizon groping them and making inappropriate comments.
Minnesota
Minnesota is preparing to expand COVID-19 vaccine booster access to all adults this week, with or without federal backing, and encouraged renewed protections in communities and schools against a worsening pandemic wave.
The positivity rate of COVID-19 diagnostic testing rose above a 10% high-risk threshold in Minnesota, which is reporting high viral transmission levels in 86 of 87 counties but particularly severe levels in central and northern counties with lower vaccination rates.
“I don’t think we can say that any place in Minnesota is in particularly great shape right now,” state Health Commissioner Jan Malcolm said.
Republican Rep. Scott Perry of Pennsylvania has tested positive for Covid-19, his office announced Tuesday, a day after he was elected chair of the conservative House Freedom Caucus.
Perry’s office said in a statement announcing his diagnosis that the congressman, who has not publicly indicated whether he has been vaccinated against the virus, is experiencing “quite mild” symptoms and he “will continue working while quarantining at home.”
Houston Methodist Hospital in Texas has suspended privileges for an ear, nose, and throat doctor after she tweeted several opinions on COVID-19 vaccines, including advising patients from getting it according to a report by XKAN.
A hospital representative confirmed the suspension of Dr. Mary Talley Bowden to The Washington Post. Houston Methodist said Bowden, who only recently joined staff and says she is vaccinated, is “spreading dangerous misinformation which is not based in science.”
Bowden tweeted earlier this month that she was “shifting focus to treating the unvaccinated” due to the “current climate and writing on the wall,” in addition to the promotion of experimental treatments over the FDA-approved coronavirus vaccines.
[OLYMPIA] – (MTN) California governor Gavin Newsom and Colorado governor Jared Polis issued directives last week instructing healthcare providers to allow booster shots to anyone 18 and older, breaking from federal guidelines and forging a different path from the Western States Pact.
In April 2020, California, Oregon, and Washington entered into an agreement that would align the COVID response between the three states. Two weeks later Nevada and Colorado joined the pact. A similar agreement was reached on the East Coast, including many New England and Mid-Atlantic states. The cooperative agreements were created to share research and education telecommunications networks and services to align the regional response.
The states have largely been in agreement for the last 19 months so the recent fracture on booster protocols is a new development. After Colorado announced their directive on Tuesday, Charlie Boisner, the COVID-19 Public Information Officer for the Washington State Department of Health, told Malcontent News in an e-mail, “DOH is following guidance from the FDA, CDC and Western States as to whom is eligible to receive a booster shot. Additional populations may be recommended to receive a booster as more data becomes available. Washington has no plans of implementing measures outside of current authorizations.”
In a follow-up after California announced they were also breaking from FDA and CDC guidance and issuing a directive for “boosters for all,” Boisner responded, “Washington has no plans of implementing measures outside of current authorizations.”
Several Western Washington hospitals are dealing with a significant number of breakthrough cases among staff that were vaccinated in January and February.
On Monday morning New Mexico, also dealing with a late fifth wave surge, and New York City issued directives to make Covid-19 booster shots eligible for anyone 18 and over who wants one.
Colorado is facing a late fifth wave, with hospitals operating at crisis standards of care and projections indicating the state will run out of hospital resources by Christmas. Cases are also up in California with the surges in both states largely driven by the unvaccinated. Within the data, there is growing evidence that vaccines and natural immunity are waning. Among the unvaccinated reinfections are increasing dramatically and among the vaccinated, breakthrough cases among those vaccinated more than six months ago are creeping upward.
Last week Dr. Anthony Fauci urged anyone eligible to receive a booster to get one as soon as possible.
Germany may serve as a warning for the United States and the impact from a confusing rollout of booster shots. Ranked 45th for vaccination rates, only 3% of the population has received a COVID booster shot. In the eastern parts of Germany where only 50% of the population is vaccinated, cases are raging again. The German government is planning to deploy 12,000 troops to assist overwhelmed hospitals. Historically, Europe has been a leading indicator of the next surge to hit the Americas.
Earlier this year Israel dealt with a surge of Delta cases when the nation was vaccinated at a similar level to the United States today. The nation implemented a booster program in early July and expanded it twice, making boosters available for everyone 12 and older on September 25. Case rates have returned to a normal level, despite ranking 47th in vaccination rate in the world, and only slightly ahead of the United States.
During a White House briefing on Wednesday, Dr. Rochelle Walensky, director of the U.S. Centers for Disease Control and Prevention (CDC), said there continued to be a need to prioritize those who are currently eligible for a Covid-19 booster but added, “as you likely know, FDA is currently looking at the data for expanding boosters to all populations.”
Two different studies were released in October 2021, providing insight into how long natural and vaccine immunity last. Neither offer lifetime protection and lifetime protection was never promised. A growing list of studies indicates that natural and vaccine-based immunity wanes after five to seven months.
On October 1, a study on the durability of immunity against reinfection by SARS-CoV-2 was published in The Lancet. Researchers predicted that natural immunity began to fade after 142 to 185 days and natural immunity would disappear after 16 months, The study also stated that this would vary widely depending on age, overall health, genetics, and risk factors, and immunity could be as short as three months or as long as five years.
Before the first Covid-19 vaccines became publicly available, researchers and scientists were publicly stating that boosters would be likely and that testing programs would evaluate the effectiveness of future boosters. Those predictions came true.
Many people are eligible for booster shots today including 188 million American adults who are overweight with a BMI of 25 or higher.
[SEATTLE, Wash.] – (MTN) During a Facebook Live with Congresswoman Anna Eshoo (CA-D) on Tuesday, Dr. Anthony Fauci M.D., Director of the National Institute of Allergy and Infectious Diseases, recommended Americans who are eligible to get a Covid-19 booster shot to get one as soon as possible due to waning immunity.
With concern growing about a sixth wave in states that finished beating back the Delta surge and states such as Colorado, Michigan, Minnesota, and Vermont having a late fifth wave, questions about eligibility for boosters are growing.
Some states aren’t waiting for direction from the federal government. California Governor Gavin Newsom and California Health Secretary Dr. Mark Ghaly told state residents 18 and older they should “absolutely” sign up to get a COVID booster. On Thursday, Colorado Governor Jared Polis issued a directive that defies current federal guidance on Covid-19 booster shots, permitting all state residents 18 and older to get them.
During a White House briefing on Wednesday, Dr. Rochelle Walensky, director of the U.S. Centers for Disease Control and Prevention (CDC), said there continued to be a need to prioritize those who are currently eligible for a Covid-19 booster but added, “as you likely know, FDA is currently looking at the data for expanding boosters to all populations.”
Who is currently eligible for a Covid-19 booster
Eligibility depends on which vaccine you received and several other factors.
Janssen/Johnson & Johnson
If your initial vaccine was Janssen/Johnson & Johnson and you’re 18 or older, you are eligible for a booster 60 days after receiving your first dose. There are no limitations for age, comorbidities, living arrangements, or vocation.
The FDA has approved a mix-and-match approach, and you can receive a booster using the Pfizer or Moderna vaccine or a second Johnson & Johnson dose.
The Johnson & Johnson vaccine has a 1:500,000 chance of causing a rare condition called VITT. In the United States, there have been 47 reported cases and four deaths. If you were assigned female at birth and have a family history of blood clots or low platelets, or you are of childbearing age and using a hormone-based form of birth control, and you’re concerned about VITT, talk to your healthcare provider, OB/GYN, or fertility specialist.
If you’ve had a confirmed case of Covid-19 in the last 90 days and you were symptomatic, talk to your doctor or healthcare provider on whether you should wait to receive a booster.
BioNTech/Pfizer and Moderna
Anyone 65 or older and received the Pfizer or Moderna vaccine is eligible for a booster 180 days after their second dose. People 18 to 64 can qualify for a third dose if they have certain medical conditions, work in a high-risk environment, or live in an area where social distancing isn’t feasible.
Medical conditions that put you at risk for severe Covid-19
Chronic lung disease such as moderate to severe asthma, bronchiectasis, COPD including obstructive sleep apnea, fibrosis or prior lung damage due to scarring, injury, or prior disease, cystic fibrosis, pulmonary embolism or history of, or pulmonary hypertension or history of
Dementia or Alzheimer’s
Diabetes – Type 1 or Type 2
Down Syndrome
Heart disease such as heart failure, coronary artery disease, high blood pressure, cardiomyopathies
HIV
Immunocompromised, auto-immune disease, taking immunosuppressants, or using drugs that suppress the immune system such as steroids both oral and topical
Mental health conditions including mood disorders, depression, and schizophrenia
Body Mass Index (BMI) over 25
Pregnant, trying to get pregnant, or sexually active and could get pregnant and would carry pregnancy to term
Sickle cell disease or Thalassemia
Smoking or vaping currently or in the past
Solid-organ or blood stem cell transplant
Stroke or cerebrovascular disease
Substance abuse past or present including alcohol, opiods, or cocaine
Tuberculosis
Living conditions
If you have any of these living arrangements, you qualify for a booster.
Long-term care facility
Homeless shelter – short or long term
Jail or prison inmate
Community living arrangements such as dormatories, halfway houses, group homes, or hostels
Live with a high-risk individual with a medical condtion listed above, or live in a multi-generational household, and you are the primary care provider
First responders such as healthcare workers, firefighters, police, or congregate care providers
Educational staff such as teachers, support staff, athletics staff, transportation, and daycare workers
Food and agriculture workers
Manufacturing workers
Correctional officers and employees who work in jails or prisons including healthcare, educators, and mental health providers
U.S. Postal Service workers
Public transit workers
Grocery store workers and other retail and service employees that have high contact with the public
There have been less than 1,000 mild to moderate myocarditis cases in the United States connected with receiving the mRNA Pfizer or Moderna vaccines. Most of these cases involved adolescents or young men. If you were assigned male at birth and have a history of heart disease, or are worried about myocarditis, talk to your healthcare provider to see if the Jassen/Johnson & Johnson vaccine is a better option.
Just like the J&J vaccine, If you’ve had a confirmed case of Covid-19 in the last 90 days and you were symptomatic, talk to your healthcare provider to determine if you should wait to receive a booster.
I thought the COVID vaccine was forever
The idea that the Covid-19 vaccine would be one and done is a creation of misinformation, misunderstanding, and poor reporting by some news outlets.
As the first COVID wave was winding down in the United States in May 2020, there were discussions about having “immunity passports.” People who had a confirmed Covid-19 case could be permitted to return to work and other activities based on the assumption they possessed natural immunity. Shortly after the discussions started, early evidence began to pile up that natural immunity was short-lived. The journal Nature Medicine shared a report on June 18 showing natural immunity started to fade after three months.
The closest claim that immunity from natural exposure or vaccination would last a lifetime came from former President Donald Trump in October 2020. Still, even then, he never made a complete claim of lifetime protection. On October 11, 2020 during an interview with Maria Bartiromo, Trump discussed his personal battle with Covid-19.
“It looks like I’m immune for, I don’t know, maybe a long time, maybe a short time,” he said. “It could be a lifetime. Nobody really knows, but I’m immune. So the President is in very good shape to fight the battles.”
As Trump was recovering from COVID and considering if he had “long time” immunity, there was more evidence that natural immunity started to fade after three months and a growing number of reinfection cases. For public health officials, an even bigger concern was many people who got reinfected suffered from more severe cases.
In December, when the first Covid-19 vaccines were about to become publicly available in the United States, the medical community was already cautioning the public it was unknown how long immunity would last.
In January 2021, Dr. Kristen Marks M.D., an infectious disease specialist at New York-Presbyterian, said, “We really don’t know whether you’re still immune a year after vaccination. Some of the clinical trials will study adding a booster in a year and comparing whether that’s better or if the immunity is just as good for two years with the two shots. That remains to be determined.”
Data from the United Kingdom and Israel have shown that all immunity wanes. Although cases grew dramatically in both countries, hospitalizations and fatalities did not match the winter 2020 surges. A vast majority of the hospitalized, critically ill, and deaths were among the unvaccinated. In Israel, an aggressive booster program ended their wave where new cases have drifted downward to early July levels.
How long does natural and vaccine based immunity last
Two different studies were released in October 2021, providing insight into how long natural and vaccine immunity last. Neither offer lifetime protection.
On October 1, a study on the durability of immunity against reinfection by SARS-CoV-2 was published in The Lancet. Researchers predicted that natural immunity had a half-life of 142 to 185 days. Half-life means how long does it take for half of the antibodies for a disease to disappear from a person’s blood serum. The study estimated that after 16 months, the average person would no longer have any natural immunity to Covid-19. However, the study also stated that this would vary widely depending on age, overall health, genetics, and risk factors. The half-life could be as short as 45 days or as long as 31 months.
Three days later, the Lancet published a study on vaccine-based immunity titled Effectiveness of mRNA BNT162b2 COVID-19 vaccine up to 6 months in a large integrated health system in the USA. That study indicated that immunity waned from 30% to 50% after five months depending on the mRNA vaccine administered, age, and Covid-19 variants. Simply put, vaccine immunity and natural immunity, when accounting for a range of factors, have similar half-lives.
The viral-vector vaccine from Johnson & Johnson has received less research and has been administered to approximately 15 million Americans. A third study indicated the J&J vaccine was the least effective of the three available options in the United States, particularly with the Delta variant.
Why aren’t the vaccines 100% effective
It is a common misconception that vaccines are 100% effective, especially in industrialized nations. Due to a combination of high vaccination rates for diseases such as measles, mumps, and polio, and enough immunized people to provide community immunity, it is easy to believe that vaccines are perfect and forever.
For example, polio still exists in several countries, and the U.S. Department of Defense and the CDC recommend a poliovirus booster for anyone traveling to those regions. Certain members of Generation X have been advised to get an updated MMR vaccination because data shows that protection from measles doesn’t last a lifetime. Even Ben Shapiro complained on Twitter in 2015 that his 13-month old son was exposed to pertussis and became severely ill.
When it comes to the COVID vaccines, no one in the medical community said any vaccines were 100% effective, and the data has always been publicly available.
In Phase 3 studies, the Pfizer-BioNTech and Moderna vaccines were 95% effective in the first few months after vaccination. Put simply, “If there were 100 people who would have gotten COVID, it prevented 95 of them from getting it, but it didn’t prevent all 100,” says Dr. Marks. “It definitely provides some protection, but it’s not perfect.”
The Johnson & Johnson vaccine reported a 72% efficacy rate in preventing moderate to severe disease from COVID-19 in the U.S. and was 85% effective in preventing severe disease.
The good news is that early data found that those who did contract COVID-19 after receiving the vaccine did not develop a severe form of the disease. “So even if it doesn’t completely prevent illness, the study data shows that it does reduce the severity,” Dr. Marks said. Ten months later, the early projections have largely come true.
In King County, Washington, 22% of all confirmed Covid-19 infections since January 17 have been breakthrough cases. Eleven percent of people hospitalized were vaccinated, and 15% died of Covid-19 related illness. When the total number of vaccinated versus unvaccinated residents is considered, the effectiveness of vaccines, even as the need for boosters is increasing, is evident.
Population
Confirmed Cases
Hospitalized
Deaths
Fully vaccinated
1.633M
20,252
433
115
Partial or unvaccinated
319K
71,857
3,373
667
349,000 King County residents are under 12 years old and were not vaccine eligible from January 7 to November 10
Unvaccinated King County residents were 12 times more likely to be hospitalized and 13 times more likely to die of Covid-19 from January 17 to November 3.
Additionally, a comparison of King County, Washington, and Dallas County, Texas, provides additional data on vaccination and public health programs’ impact. King County experienced the first superspreader event in February 2020, the first Covid-19 death, and had the first mass casualty situation at a hospital in the United States. A month later, Texas suffered its first Covid-19 death. Over the next 627 days, King County implemented some of the strictest COVID rules in the nation while Dallas County took a more open approach.
On November 1, Dallas County reported its 5,000 COVID-related death while King County reported 2,022. Simply put, 1 in every 530 residents of Dallas County has died of COVID since March 2020 versus 1 in every 1,137 residents in King County since February 2020.
Will we need to get boosters forever
To answer that question, we need to move away from facts and science and step into the arena of opinion. The short answer is, “maybe,” but it depends on the advancement of medical science, improvements in available vaccines, and our own behavior.
In the short term, the data is clear – peak immunity against current Covid-19 variants lasts 142 to 185 whether it is natural or vaccine-based. A regimen of booster shots will likely be needed every 6 to 12 months over the next few years.
Two antiviral drugs are currently being evaluated in the United States. Molnupiravir by Merck is reported to reduce hospitalizations and deaths by 50%, while Pfizer released a study on a medication they are developing that was 88% effective in early testing. Both drugs are oral and would be game-changers in the treatment of Covid-19.
Another way to get off the booster shot treadmill would be to reach 90% to 95% immunity, reducing the number of available hosts for Covid-19 to a level that the disease can’t widely spread in the population – so-called ‘herd immunity.” Given the resistance of 62 million Americans to get vaccinated, and almost half the world doesn’t have access to the COVID vaccine, that seems unlikely.
A third game-changer would be a new variant that emerges and is far more transmissible than the current dominant Delta strains but with significantly less severe symptoms. A version of Covid-19 that is closer to moderate Influenza in symptoms and lethality and is as contagious as measles would quickly infect the population, run out of hosts, and burn itself out while not overwhelming hospitals. This could also lead to “herd immunity.”
The final possibility is the vaccines themselves get better. The original Salk polio vaccine, authorized in 1955, was 50% effective at preventing infections but 90% effective at preventing hospitalizations. It wasn’t until 1962 when the Sabin oral vaccine replaced the Salk vaccine, that infections dropped 90% after a first dose and 99% after four doses.
If the Covid-19 vaccines follow a similar development path as other vaccines, a more effective version will likely be discovered in the future.
Why didn’t the United States approve boosters for all after the Biden Administration announced its intent
Over the summer, the Biden Administration and the World Health Organization (WHO), FDA, and CDC had a very public disagreement on who should get booster shots. President Biden wanted every adult to be eligible for a booster. The WHO objected, pointing out how some nations had no access to COVID vaccines while the United States was throwing out expired doses. The FDA and CDC also pushed back, arguing there wasn’t enough real-world data to support boosters for all.
While the debate raged, experts had a real-world case study unfolding on the other side of the world. Israeli officials started boosters for anyone over 60 on July 13 and three weeks later dropped the age to 40. On September 25, they dropped the age again to 12 and older. The program was highly effective at controlling deaths and hospitalizations, and when Israel is compared to the United Kingdom, the booster program implemented was an evident success.
On September 22, the FDA approved booster shots for recipients of the Pfizer vaccine, and on October 20 added the vaccine by Moderna. Eligibility was limited to people who were 65 or older or were 18 to 64 and worked or lived in places with a high risk of exposure or had a serious underlying medical condition that increased their chances of severe COVID. The FDA recommended a booster six months after receiving the second dose.
Also, on October 20, the FDA authorized boosters for anyone who received the Johnson & Johnson vaccine. As the Delta variant raged in the southeastern United States during the summer of 2021, it became evident the J&J vaccine offered less protection against hospitalization. Additionally, the viral-vector vaccines created by Astra Zeneca and developed in Russia and China were also low-performing. Anyone who received the Johnson & Johnson vaccine was advised to get a booster 60 days after the first dose.
Unfortunately, the ethical and trust concerns that tainted the debate in the United States have resulted in new COVID cases stuck on a high plateau for the last three weeks. New cases are rising in most states, and the pattern of Covid-19 infections looks eerily similar to the United Kingdom. A vast majority of hospitalized COVID patients continue to be unvaccinated.
The world needs to learn to live with Covid-19 and everyone will eventually have a date with the illness. The question is, will you be effectively vaccinated or not when it happens.
Knowledge is the best tool to fight against fear. A wise person chooses to be informed so they can make sound decisions. To join the fight against COVID misinformation, you can share this update through your social media platform of choice.
[KING COUNTY, Wash.] – (MTN) Dr. Anthony Fauci discussed the need to get booster shots and waning immunity in a discussion yesterday with Congresswoman Anna Eshoo (CA-D) when he was asked if a sixth wave was coming to the United States.
The surge that tore through the Pacific Northwest is coming to an end from Barrow, Alaska to Brookings, Oregon, and out to Boise, Idaho, while new hotspots are emerging in northern states plateauing the national decline in new cases and hospitalizations. Seventy-nine million Americans age five and up remain unvaccinated and millions more need boosters or wrongly believe they have lifetime natural immunity.
A study published in JAMA found a correlation between sleep apnea and a higher risk of hospitalization and having severe Covid-19 symptoms. The study did not indicate if CPAP therapy decreased the risk.
Johns Hopkins University data shows that new case rates in the United States have plateaued at a high level for the last three weeks and continue to be driven by the unvaccinated.
In Washington state, new cases continue to decline with almost half the population living in counties on the other side of the fifth wave. Hospitalizations also declined and we have lifted the avoid all unnecessary travel advisory for the East Hospital Region.
The Washington State Office of Financial Management reported 94.7% of all state employees are in compliance with the October 18 vaccine mandate and another 2% are either completing their vaccinations, waiting for accommodation, in the process of retiring, or facing termination.
The Kent School District joined Seattle Public Schools and the Bellevue School District (BSD) and canceled all classes on Friday due to staffing issues. In better news BSD moved to status green, with only 9 active Covid-19 cases reported between staff and students.
Nationally, the Department of Homeland Security updated the National Threat Advisory through February 8, 2022. DHS reported that domestic violent extremists remain their primary concern, and the agency had prevented “several” attacks. The bulletin indicated that there were no specific threats.
A survey by the Kaiser Family Foundation found that consumers of Fox News were more likely to believe Covid-19 disinformation. In related news, doctors are seeing a growing connection between prior COVID infections and erectile dysfunction in young men around the world.
New cases continued to decline statewide. The end of farming season, colder weather, and helping drive new case rates down in several sparsely populated counties in Eastern Washington. There remains a significant difference between lower-vaccinated counties and counties where at least 70% of the total population is fully inoculated.
Percent of Total Population Fully Vaccinated
Total Population in Group
Average 14-Day New Case Rate
70.00% or above (3 counties)
2,343,250
184.7
60.00% to 69.99% (4 counties)
1,242,200
305.3
50.00% to 59.99% (16 counties)
3,454,700
321.8
40.00% to 49.99% (10 counties)
584,875
317.5
31.60% to 39.99% (6 counties)
151,850
290.8
14-Day New Covid-19 Cases per 100K average by Vaccination Rate for Total Population, Adjusted for Population by County
Through November 10, Washington’s statewide 14-day rolling average is 277.0 Covid-19 cases per 100K.
Skagit County remains above 600, with a new case rate of 620.2 per 100K residents.
Chelan, Douglas, Grant, Klickitat, Lewis, Lincoln, Okanagan, Pend Orielle, and Spokane counties have new case rates between 400.0 and 599.9. Asotin County is just under 400.
Fourteen counties representing 3.13 million Washingtonians have a 7 day moving average case rate under 100. This includes some former hotspots such as Benton, Garfield, and Kittitas Counties.
The 7 day new case rate was mixed, slight down to unchanged except for ages 20 to 34, which saw a larger decline, and up significantly for ages 50 to 64. Hospitalizations were down significantly for adults and declined slightly for children and adolescents.
Age Group
7-Day Case Rate
7-Day Hospitalization Rate
Ages 0-11
125.8
0.8
Ages 12-19
127.2
1.2
Ages 20-34
127.8 (down)
2.2 (down)
Ages 35-49
130.2
5.5 (down)
Ages 50-64
130.3 (up)
9.8 (down)
Ages 65-79
70.6
14.8 (down)
Ages 80+
78.6
25.0 (down)
7-day case rate and 7-day hospitalization rate is per 100K within the age group – the target for 7-day case rate is <25.0, but there are other factors such as vaccination rates within the age groups, how many total tests within the 7-day period, and the positivity rate within each age group
Over 57,000 of the 62,145 impacted employees have verified they are vaccinated. Another 1,945 workers requested and received accommodation based on medical or religious grounds. Combined, almost 95% of all employees have met the state requirement. The number of employees who were terminated or quit increased slightly to 1,857.
The state reported another 1,259 workers are pending a final outcome. Some are finishing their vaccination series while others are waiting for accommodation decisions. There are also employees who are still pending termination.
Several unions negotiated that if a state worker planned to retire by December 31, they would be exempt from the mandate – and some of those employees fall into this group. According to the OFM, only 121 state employees opted to retire so far because of the mandate.
4,973 employees requested a religious exemption. 1,518 have been approved and 745 requests were withdrawn, another 1,306 people requested medical exemptions with 427 approved and 333 withdrawn.
The mandate’s impact on services statewide has been minimal. The Washington State Department of Transportation has cautioned that snow removal could be reduced during the upcoming winter season and Washington State Ferries are still managing service reductions on some routes.
Seattle and Kent School Districts join Bellevue in canceling school on Friday
The district said, “fatigue that educators and students are experiencing, locally and nationwide, 11 weeks into the return to in-class learning” was driving the staffing issue.
Kent School District (KSD) also announced they were canceling school on Friday.
Due to staff and substitute shortages, on “Friday, November 12, 2021, our schools will be closed and the central office will be open,” was posted on the KSD website.
SPS did not provide a make-up date while KSD reported the make-up day would be on March 25. We reported yesterday Bellevue Public Schools had canceled class for Friday.
A quirk in the holiday calendar has Veteran’s Day falling on a Thursday. Government offices and services will be closed nationwide, along with banks and there won’t be mail delivery. Because of the federal holiday, many are opting to take Friday off and have a four-day weekend.
“We recognize the late notice creates challenging circumstances for many families. Our hope is that the four-day weekend allows for some level of physical, mental, and emotional rest and recharging.”
A recent survey reported that 40% of school districts nationwide reported a critical shortage of staff and schools closing or moving to remote learning for November 12 has been reported in states such as Colorado and Louisiana.
Travel Advisories
Today, we are downgrading the avoid unnecessary travel advisory for the East Hospital Region to avoid recreational travel. Adams, Asotin, Ferry, Garfield, Lincoln, Pend Oreille, Spokane, Stevens, Wahkiakum, and Whitman counties join Clallam, Jefferson, Kitsap, and Mason counties in the avoid recreational travel advisory. Hospital resources remain limited. It is likely in the next seven days we will end the travel advisory to both regions.
We are maintaining our avoid all nonessential travel advisories for Alaska, Colorado, Idaho, and Montana. The Idaho Panhandle continues to experience an extreme number of Covid-19 hospitalizations. Hospital resources in all of these states are constrained, and you may receive inadequate care if you experience a serious medical emergency.
We continue to maintain our travel advisory for Wyoming and recommend avoiding recreational travel at this time.
Thank you
Thank you to our new subscribers and those of you who have made one-time contributions. On behalf of the entire team, thank you for helping us keep the lights on!
No promotional consideration has been given, or requested from the n95 project or any manufacturer of masks
Vaccination
Dr. Fauci does not believe a sixth wave is inevitable, if people take action
Yesterday, Congresswoman Anna Eshoo (CA-D) spoke with Dr. Anthony Fauci on Facebook Live. During the 31 minute discussion, Eshoo asked Fauci if the United States would experience a “sixth wave” like Europe is having now.
Dr. Fauci did not see a sixth wave as inevitable but set the bar high to prevent it. He stated that 62 million Americans who are eligible for vaccination remain unvaccinated, and getting them vaccinated was a critical priority. He also addressed vaccine and natural immunity fading, and the need for people who are eligible to get booster shots as soon as possible.
If you are eligible for a Covid-19 booster shoot Malcontent News strongly encourages you to not delay getting your second or third dose. It is fast, free, and easy. There is growing evidence that the half-life of Covid-19 vaccines is six to ten months, and the half-life for so-called natural immunity is five to seven months.
King County, Washington is reporting over 89.2% of age eligible residents are vaccinated with at least one dose. The highest rates of positivity are in areas with low vaccination rates statewide. The FDA has provided full approval of the Pfizer vaccine for anyone 16 and over and EUA approval for the Moderna and Johnson & Johnson vaccines. The Pfizer vaccine has EUA approval for children 5 to 15 years old.
COVID vaccines and boosters are free for anyone 5 and older. Lyft and Hopelink provide free transportation, and KinderCare, the Learning Care Group, and the YMCA offer free childcare during vaccination appointments or recuperation.
Our belief that there was an issue with the East Hospital Region data was correct. The Washington Department of Health updated the information in today’s report that accurately reflects the situation. However, there appears to be a different error in the data that we suspect will be corrected on Friday or next week.
According to the DoH COVID Dashboard, 91% of all staffed acute care beds are occupied, and 13.6% of patients have Covid-19. This is not a sudden jump from yesterday and reflects a full dataset being provided. Statewide, hospitals have the staff to support approximately 642 additional acute care patients.
ICUs are at 88.3% of capacity statewide, with 23.0% of ICU patients fighting Covid-19 – an estimated 273 patients with 33.4% on ventilators. The state has the staff to support approximately 140 additional ICU patients.
On Tuesday, the 7-day rolling average hospital admission rate for new COVID patients had climbed back up to 111. The Department of Health reported 737 Covid-19 patients statewide on November 8, with 91 requiring ventilators. We believe that data is missing from these numbers. It is highly unlikely more than 200 Covid-19 patients were released in the last 24 hours.
Based on what we believe is accurate data out of the East Hospital Region, we are ending our travel advisory.
Hospital status by region – ICU Occupancy should be below 80%, ICU COVID Patients should be below 20%, Acute Care Occupancy should be below 80%, and Acute Care COVID Patients should be below 10%
– Alcott (19) – Bell (24) – Blackwell (5) – Carson Elementary (10) – Clara Barton (23) – Eastlake High (66) – Ella Baker (6) – Evergreen Middle School (1) – Finn Hill Middle School (5) – Frost (5) – Inglewood Middle School (13) – Juanita Elementary (1) – Juanita High (30) – Kamiakin Middle School (5) – Keller (6) – Kirk Elementary (20) – Lakeview Elementary (7) – Lake Washington High School (7) – McAuliffe (1) – Northstar Middle School (12) – Redmond High School (37) – Renaissance Middle School (1) – Rush Elementary (1) – Sandburg/Discovery (9) – Thoreau (5) – Timberline Middle School (14) – Twain Elementary (2)
None
Northshore
YELLOW
– Arrowhead Elementary (3) – Bothell High School (12) – Canyon Creek Elementary (13) – Canyon Park Middle School (1) – Crystal Springs Elementary (30) – Fernwood Elementary (5) – Frank Love Elementary (8) – Hollywood Hills Elementary (9) – Inglemoor High School (12**) – Kenmore Elementary (16) – Kenmore Middle School (11) – Kokanee Elementary (7) – Leota Middle School (2) – Maywood Hills Elementary (3) – Moorlands Elementary (1) – North Creek High School (7) – Northshore Middle School (34) – Ruby Bridges Elementary (13) – Shelton View Elementary (4) – Skyview Middle School (2) – Sunrise Elementary (5) – Timbercrest Middle School (3) – Wellington Elementary (5) – Westhill Elementary (2) – Woodin Elementary (1) – Woodinville High School (5) – Woodmoor Elementary (5)
None
Local Districts Scorecard – * indicates positive cases only ** indicates 5 or more confirmed positive cases
Malcontent News redefined the school district statuses in early October. Information for classroom and building closures has been a challenge to obtain, both for closures and reopening. We adopted moving any school with more than ten active COVID cases reported into the red, and we’ve adjusted the third column to reflect this change.
A number (X) represents Covid-19 positive and quarantined students and faculty combined. A number with an asterisk (X*) represents Covid-19 positive students and faculty only. Bellevue School District does not report quarantine numbers by the facility. Finally a number with two asterisks (X**) indicates a school facility with five or more confirmed Covid-19 cases in the last 14 days between students and faculty.
The Bellevue School District moved to status green today, having eight confirmed cases in the last 14 days districtwide. The Northshore School District continues to improve with the number of confirmed cases declining at many schools.
We continued to encourage parents to request daily updates from the Lake Washington School District. We would also encourage parents to request the Bellevue School District include data on close contacts. These two changes would bring the three school districts we track into alignment.
Kirkland-Bellevue-Woodinville
No update
National Round-Up
Johns Hopkins University Cumulative Case Tracker reports 79,829 new cases and 1,662 deaths nationwide on Wednesday.
Department of Homeland Security remains concerned about domestic violence exteremists
The Secretary of Homeland Security has issued an updated National Terrorism Advisory System (NTAS) Bulletin regarding the current heightened threat environment across the United States effective through February 8, 2022. The Homeland continues to face a diverse and challenging threat environment as it approaches several religious holidays and associated mass gatherings that in the past have served as potential targets for acts of violence. These threats include those posed by individuals and small groups engaged in violence, including domestic violent extremists (DVEs) and those inspired or motivated by foreign terrorists and other malign foreign influences.
Through the remainder of 2021 and into 2022, racially or ethnically motivated violent extremists and anti-government/anti-authority violent extremists will continue to pose a threat to the United States. Pandemic-related stressors have contributed to increased societal strains and tensions, driving several plots by DVEs, and they may contribute to more violence this and next year. If a new Covid-19 variant emerges and new public health restrictions are imposed as a result, anti-government violent extremists could potentially use the new restrictions as a rationale to target government or public health officials or facilities.
Historically, DVEs and individuals inspired by foreign terrorist organizations have targeted crowded commercial facilities, houses of worship, and public gatherings, which have at times caused mass causalities. The continued reopening of commercial and government facilities and the potential for ongoing societal and economic disruptions due to the pandemic, as well as mass gatherings associated with several dates of religious significance over the next few months, could provide increased targets of opportunity for violence, though there are currently no credible or imminent threats tied to any dates or locations.
Fifth Wave in the United States starting to mirror the U.K. as new case numbers nationally plateau
After weeks of plunging U.S. Covid-19 cases, the decline in infections has stalled out according to a report in CNBC.
New infections have dropped to an average of more than 74,000 per day over the past week, a 57% fall from the delta wave’s peak level of 172,500 new cases per day on September 13.
While that surely is good news, the downward trajectory has leveled off in recent weeks, bouncing between 70,000 and 75,000 new cases a day for nearly three weeks, according to data compiled by Johns Hopkins University.
“We came from a very high spot, so we had our spike a little bit earlier,” Dr. Sonja Rasmussen, a professor in the departments of pediatrics and epidemiology at the University of Florida College of Medicine, said of her state’s declining cases. She noted that the cooler fall and winter temperatures in the typically tropic climate make it easier for Floridians to spend time outside, where the virus does not spread as easily as it does indoors.
Malcontent News had predicted this seasonality impact. Cases are surging in areas where colder weather has moved people to indoor activities. In 2020 a similar pattern of severe cases in the south during the summer as residents moved to air-conditioned comfort shifting to the north as people moved indoors to keep warm.
Although some are calling the growing number of cases in cooler areas a “sixth wave,” states like Idaho, Alaska, Montana, Wyoming, and Colorado didn’t have the same spike that the Southeastern United States experienced.
Fox News viewers more likely to believe Covid disinformation
People who trust Fox News Channel and other media outlets that appeal to conservatives are more likely to believe falsehoods about COVID-19 and vaccines than those who primarily go elsewhere for news, a study has found.
“It may be because the people who are self-selecting these organizations believe (the misinformation) going in,” said Liz Hamel, vice president and director of public opinion and survey research at Kaiser.
Doctors link being nervous in the service and a failure to stand at attention with prior Covid-19 infection
The number of men in their twenties and thirties seeking help for erectile dysfunction is skyrocketing, and doctors are linking it to the after-effects of being infected with COVID-19.
Doctors around the world are seeing more younger men, both vaccinated and unvaccinated, report they can no longer perform in the bedroom or even be stimulated after they’ve recovered from COVID-19.
“We started to see our first patients with this issue post-COVID as early as last winter,” Greg Girard, manager of the Tulsa Men’s Clinic, told FOX23. “We’ve easily seen recently a more than 35 percent increase in the number of patients coming to us for help.”
“These are men mostly in their mid to late twenties and early thirties. We usually don’t see men seeking help or care until their forties and fifties.”
Girard said it appears the virus lingers in and is damaging the tiny blood vessels in the penis, and even after someone has recovered, the damage remains.
“There is no way to tell the difference between erectile dysfunction caused by COVID and E.D. caused by other factors, but we have ways of scanning and seeing what’s actually going on,” he said.
Sleep apnea severity linked to Covid-19 outcomes
The risk of severe illness from COVID-19 is higher in people with obstructive sleep apnea and other breathing problems that cause oxygen levels to drop during sleep, researchers say. They tracked 5,402 adults with these problems and found that roughly a third of them eventually tested posted for the coronavirus. While the chance of being infected did not increase with the severity of their problems, people with higher scores on the “apnea-hypopnia index” – a measure of the severity of their sleep-related breathing problems – had higher odds of needing to be hospitalized or dying from COVID-19, Drs. Cinthya Pena Orbea and Reena Mehra of the Cleveland Clinic and colleagues reported on Wednesday in JAMA Network Open. It is not clear if treatments that improve sleep apnea, such as CPAP machines that push air into patients’ airways during sleep, would also reduce the risk of severe COVID-19, said Pene Orbea and Mehra.
While crisis standards of care are still officially enabled at approximately 20 of Alaska’s hospitals, hospital officials have said that declining COVID-positive patient counts meant that facilities have not had to act on those standards in the last few weeks.
Nearly 11,000 votes were cast in the Oct. 26 special election, with the Assembly unanimously certifying the results during its Tuesday meeting.
The official reason for the recall attempt stemmed from Zaletel’s attendance at a public meeting in which recall backers say attracted more people than was allowed under COVID-19 protocols at the time.
Colorado
Although the current surge in Colorado is part of the “fifth wave,” it could be an unnerving omen about what awaits other states in the coming months.
Gov. Jared Polis said Wednesday that the state will take new steps such as increasing the number of hospital beds and making indoor events safer as Colorado’s hospital bed capacity has hit an all-time low.
This update came at a meeting of the Governor’s Expert Emergency Epidemic Response Committee (GEEERC), at which state epidemiologist Dr. Rachel Herlihy said that COVID-19 cases have increased rapidly over the past few days.
There are 759 hospital beds available in Colorado, and 1,426 COVID-19 patients are currently hospitalized.
Of those who are currently hospitalized, 79% of them are unvaccinated, she said, adding that unvaccinated patients are 8.9 times more likely to be hospitalized for COVID-19.
The maximum number of COVID-19 patients that Colorado hospitals can accommodate is about 2,000, and current models show that the state will exceed that number by late next month.
“My world is still fully COVID,” said Combs. She has worked in ICUs for 18 years and has been a nurse for more than 20.
Combs says a great percentage of critical COVID patients now are not merely in disbelief, as she’s witnessed with cancer patients over the years, but disbelievers.
“It’s hard though when you know that you’re doing good for the patients, but they’re yelling at you,” she said. “They’re telling you it’s not real. They’re telling you that you’re a murderer.”
Some believe the hospital is making them sick.
“’I can’t breathe,’” she hears them say. “Exactly. That’s because you have COVID. ‘Well no I don’t have COVID, that’s not real.’ I’ve had these conversations with people.”
“We didn’t lose one, two, three — we lost nine,” the sheriff said, noting that the first death from the virus came in April 2020.
The South Florida SunSentinel reported that black and white photos of the victims were on stage at the church in Sunrise: Deputy Shannon Bennett, 39; Nikima Thompson, 41; Wiley Huff, 73; Lt. Aldemar Rengifo Jr., 54; Pamela Ford, 54; Stephen Adams, 42; Sgt. Shane Owens, 48; Edwin Sanchez, 61; and Tasha Blackwood, 54.
Covid-19 has been the largest killer of law enforcement in 2020 and 2021.
The baby died in October in the Southwest health district, which includes Adams, Canyon, Gem, Owyhee, Payette, and Washington counties. To protect the privacy of the family, additional information about the infant will not be released, according to IDHW.
“Our hearts go out to the family of this child,” said Elke Shaw-Tulloch, administrator for the Idaho Division of Public Health. “Infection with the virus can have devastating impacts on families, and this situation highlights the seriousness of COVID-19.”
While Idaho has made transferring COVID patients to other states a leading economic export, the state legislature is poised to vote on blocking vaccine mandates.
Idaho Association of Commerce & Industry President Alex LaBeau told lawmakers that such a law would put “tyrannical practices on the free market.”
The Legislature is scheduled to reconvene Monday, mainly to pass a law or laws to thwart President Joe Biden’s vaccine mandates. But potential laws aimed at preventing Idaho employers from requiring employees to get the coronavirus vaccine is also likely to be introduced by far-right Republican lawmakers.
Most mainstream Republicans are wary of government getting between employers and employees, including Republican House Speaker Scott Bedke and Republican Senate President Pro Tem Chuck Winder. Both have said lawmakers will look at legislation that would allow the state to initiate legal action over federal vaccine mandates on private employers. The legislation would include $2 million for a potential legal battle.
About a dozen potential laws are expected to be brought forward next week. Those proposed laws are likely to include some from far-right lawmakers that would prevent Idaho employers from requiring employees to get the COVID-19 vaccine. It’s not clear how they will do in the House and Senate if brought forward.
“As we hear about possible legislation from self-proclaimed ‘champions of liberty and limited government’ in support of guaranteed salaries and stripping the rights of entrepreneurs, we couldn’t stand by quietly as this thinly cloaked socialism gets wrapped up in a facade of freedom,” LaBeau wrote.
Editor’s Note: Yes, you read that right, conservative business-owning Republicans are calling far-right Republicans “socialists.”
There are currently 525 patients hospitalized with COVID-19, up from 481 on Monday. Of those hospitalized with COVID-19, 71.6% are unvaccinated and 85% of those listed in intensive care with COVID-19 are unvaccinated.
The number of long-term care facilities reporting a virus outbreak increased from 28 to 29 since Monday.
Iowa is also seeing a late-stage “fifth wave” as the weather has turned cooler and people moved indoors.
Montana
Dr. Justin Buls, the Kalispell site director of the Family Medicine Residency of Western Montana, is also a school trustee on the West Valley School District in the Flathead, and that board last month voted to distance itself from the comments he posted to his Facebook account, which also included updating his profile picture to show a swastika made with syringe needles.
KPAX reported University of Montana spokesman Dave Kuntz said that while Bulls remains affiliated with the university’s physician training program, which includes supervising medical doctors in training, the institution is aware of the comments and the controversy.
“The UM Family Medicine program doesn’t endorse these personal views,” Kuntz said. “We don’t support hate-speech and anti-Semitism, and we expect that of our community members, especially those in critical teaching roles, and expect physicians to act in a way that meets those. Dr. Buls hasn’t lived up to them.”
Repeated messages to Buls by the Daily Montanan via his social media account and through a university spokesperson went unanswered.
However, archived posts from his Facebook account show that he was suspended at least twice from Facebook and independent fact-checkers also flagged several of his posts. In his comments, he also claims the COVID-19 virus was created in a lab and “released on purpose to kill millions of people,” a narrative that is popular in some social media circles but without a factual basis.
That player was still in the hospital Wednesday, though Zimmer said the player is “stable now.” Zimmer added the situation “was scary.”
The Vikings are dealing with a COVID-19 outbreak. The team placed three players — center Garrett Bradbury, guard Dakota Dozier, and safety Harrison Smith — on the Reserve/COVID-19 list Thursday. The team placed two additional players — linebacker Ryan Connelly and practice squad tackle Timon Parris — on that list Monday.
Kirk Cousins, the starting quarterback for the Vikings, is one of the league’s most outspoken critics of the Covid-19 vaccine.
In life, Dr. Christopher Foley was a beloved husband, father, and grandfather. He cycled regularly, played handball, and had a passion for Irish music.
As a physician who trained in internal medicine at the University of Minnesota and became a natural medicine doctor, Foley’s “passion lay truly in taking care of other people,” said his son, Logan.
But through his Vadnais Heights-based practice, Foley also spread falsehoods about the COVID pandemic and vaccines. Foley died in October of complications from Covid-19. He was 71. At his funeral, Foley’s son Logan confirmed his father’s death from COVID and that he was unvaccinated.
Wisconsin
For a second day in a row, testing identified more than 3,000 new coronavirus cases in Wisconsin, as the state saw the highest one-day increase in its death toll in two weeks. At the same time, the Wisconsin Department of Health Services, which has dealt with a number of issues with vaccination reporting the past couple of weeks, revised the total number of doses back to Friday’s figure while it solves the latest problems.
The latest DHS report says there are 3,370 more confirmed cases in the past day. This caused the 7-day average to jump again, from 2,295 to 2,453 cases per day, the highest 7-day average in a month.
It comes as no surprise with the rising case numbers this past week that more counties saw their virus activity labels upgraded — or downgraded, depending on your perspective. The DHS says 8 counties have “critically high” virus activity, which is twice as many counties as the last two weeks; 62 counties have “very high” activity, down from 65 counties last week; 2 counties have “high” activity, down from 3 counties. No counties have “moderate” or “low” virus activity.
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